Provider Demographics
NPI:1790133635
Name:JUN, YONG (DOM)
Entity Type:Individual
Prefix:DR
First Name:YONG
Middle Name:
Last Name:JUN
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
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Mailing Address - Street 1:6939 SUNRISE BLVD STE 226
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-3153
Mailing Address - Country:US
Mailing Address - Phone:916-677-9818
Mailing Address - Fax:916-251-7314
Practice Address - Street 1:6939 SUNRISE BLVD STE 226
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-3153
Practice Address - Country:US
Practice Address - Phone:916-677-9818
Practice Address - Fax:916-251-7314
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17118171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist