Provider Demographics
NPI:1881719417
Name:YOON, HELEN LINDA (OD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:LINDA
Last Name:YOON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5319 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-1231
Mailing Address - Country:US
Mailing Address - Phone:714-523-8109
Mailing Address - Fax:714-523-2864
Practice Address - Street 1:5319 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-1231
Practice Address - Country:US
Practice Address - Phone:714-523-8109
Practice Address - Fax:714-523-2864
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10186T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP10186Medicare PIN
CAU84029Medicare UPIN