Provider Demographics
NPI:1427323039
Name:YOON, JEONG HUN (LAC)
Entity type:Individual
Prefix:
First Name:JEONG HUN
Middle Name:
Last Name:YOON
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 ORANGETHORPE AVE STE 7B
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-6800
Mailing Address - Country:US
Mailing Address - Phone:714-348-7883
Mailing Address - Fax:
Practice Address - Street 1:7700 ORANGETHORPE AVE STE 7B
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-6800
Practice Address - Country:US
Practice Address - Phone:714-348-7883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8819171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist