Provider Demographics
NPI:1124683370
Name:YOON, MARIA HAEJIN (DO)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:HAEJIN
Last Name:YOON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 83458
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70884-3458
Mailing Address - Country:US
Mailing Address - Phone:225-374-1317
Mailing Address - Fax:225-374-1611
Practice Address - Street 1:8300 CONSTANTIN BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3489
Practice Address - Country:US
Practice Address - Phone:225-374-1317
Practice Address - Fax:225-374-1611
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program