Provider Demographics
NPI:1558941997
Name:YOON, SEUNG HO ISAAC (MD)
Entity type:Individual
Prefix:
First Name:SEUNG HO
Middle Name:ISAAC
Last Name:YOON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15020 OLIVE LN
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1305
Mailing Address - Country:US
Mailing Address - Phone:310-254-8779
Mailing Address - Fax:
Practice Address - Street 1:321 N KUAKINI ST STE 306
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2360
Practice Address - Country:US
Practice Address - Phone:808-792-9888
Practice Address - Fax:808-380-9800
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-25273-0207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology