Provider Demographics
NPI:1043522717
Name:YOON, YOUNGJUNE (LAC)
Entity type:Individual
Prefix:MR
First Name:YOUNGJUNE
Middle Name:
Last Name:YOON
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:432 S CURSON AVE
Mailing Address - Street 2:#6M
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-5218
Mailing Address - Country:US
Mailing Address - Phone:310-780-1203
Mailing Address - Fax:323-389-2002
Practice Address - Street 1:10801 NATIONAL BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-4139
Practice Address - Country:US
Practice Address - Phone:310-780-1203
Practice Address - Fax:323-389-2002
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC12287171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist