Provider Demographics
NPI:1801258942
Name:YONG, HYJIN
Entity type:Individual
Prefix:
First Name:HYJIN
Middle Name:
Last Name:YONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S VIRGIL AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1449
Mailing Address - Country:US
Mailing Address - Phone:213-270-4159
Mailing Address - Fax:213-385-5318
Practice Address - Street 1:500 S VIRGIL AVE STE 302
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-1449
Practice Address - Country:US
Practice Address - Phone:213-270-4159
Practice Address - Fax:213-385-5318
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15887171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist