Provider Demographics
NPI:1932535168
Name:BYUN, INHWA (BSS)
Entity Type:Individual
Prefix:
First Name:INHWA
Middle Name:
Last Name:BYUN
Suffix:
Gender:F
Credentials:BSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 LEE WAY
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-9019
Mailing Address - Country:US
Mailing Address - Phone:408-351-5159
Mailing Address - Fax:
Practice Address - Street 1:2033 GATEWAY PL STE 664
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-3709
Practice Address - Country:US
Practice Address - Phone:408-351-5159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health