Provider Demographics
NPI:1174725683
Name:YOON, ESTHER YOUNG (MD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:YOUNG
Last Name:YOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 BROADVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1201
Mailing Address - Country:US
Mailing Address - Phone:818-246-3306
Mailing Address - Fax:818-246-3333
Practice Address - Street 1:1901 BROADVIEW DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1201
Practice Address - Country:US
Practice Address - Phone:818-246-3306
Practice Address - Fax:818-246-3333
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA99299207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine