Provider Demographics
NPI:1104003011
Name:YOON, CINDY MIHYUN (LAC)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:MIHYUN
Last Name:YOON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5437 LAUREL CANYON BLVD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2181
Mailing Address - Country:US
Mailing Address - Phone:818-848-2484
Mailing Address - Fax:
Practice Address - Street 1:5437 LAUREL CANYON BLVD
Practice Address - Street 2:SUITE 118
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2181
Practice Address - Country:US
Practice Address - Phone:818-848-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11311171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist