Provider Demographics
NPI:1952623381
Name:JOUNG, WOO YOUN
Entity Type:Individual
Prefix:MRS
First Name:WOO YOUN
Middle Name:
Last Name:JOUNG
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 1:3240 BONITA RD APT 170
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-3208
Mailing Address - Country:US
Mailing Address - Phone:619-207-7498
Mailing Address - Fax:
Practice Address - Street 1:3240 BONITA RD
Practice Address - Street 2:APT #170
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-3208
Practice Address - Country:US
Practice Address - Phone:619-207-7498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA682156163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse