Provider Demographics
NPI:1770723843
Name:YUN, HYE SUNG (PHD, LAC, DIPOM)
Entity type:Individual
Prefix:
First Name:HYE SUNG
Middle Name:
Last Name:YUN
Suffix:
Gender:F
Credentials:PHD, LAC, DIPOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8610 WEST 3RD STREET
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-734-7539
Mailing Address - Fax:310-734-7540
Practice Address - Street 1:2615 E CLINTON AVE BLDG 342ND
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:310-871-4888
Practice Address - Fax:855-822-9492
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA673449163W00000X
CAAC12632171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse