Provider Demographics
NPI:1457131591
Name:YOONIVERSE ACUPUNCTURE
Entity Type:Organization
Organization Name:YOONIVERSE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MYUNGHEE
Authorized Official - Middle Name:MIA
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:714-748-7098
Mailing Address - Street 1:408 S BEACH BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-1875
Mailing Address - Country:US
Mailing Address - Phone:714-748-7098
Mailing Address - Fax:714-251-6609
Practice Address - Street 1:408 S BEACH BLVD STE 108
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1875
Practice Address - Country:US
Practice Address - Phone:714-748-7098
Practice Address - Fax:714-251-6609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty