Provider Demographics
NPI:1174567192
Name:TOH, YOUN S (MD)
Entity type:Individual
Prefix:
First Name:YOUN
Middle Name:S
Last Name:TOH
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 1:24258 OWL CT
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-9193
Mailing Address - Country:US
Mailing Address - Phone:951-603-3496
Mailing Address - Fax:
Practice Address - Street 1:24258 OWL CT
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-9193
Practice Address - Country:US
Practice Address - Phone:951-603-3496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30670207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A306701Medicaid
CAA30670Medicare ID - Type Unspecified