Provider Demographics
NPI:1821734005
Name:BYEON, HYOCHEONG
Entity Type:Individual
Prefix:
First Name:HYOCHEONG
Middle Name:
Last Name:BYEON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17321 MURPHY AVE APT 354
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-8915
Mailing Address - Country:US
Mailing Address - Phone:315-706-5027
Mailing Address - Fax:
Practice Address - Street 1:9161 SIERRA AVE STE 206
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-4761
Practice Address - Country:US
Practice Address - Phone:909-730-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36213111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor