Provider Demographics
NPI:1366797318
Name:YOON, HAENGHOON (DAOM, LAC)
Entity type:Individual
Prefix:DR
First Name:HAENGHOON
Middle Name:
Last Name:YOON
Suffix:
Gender:M
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:996 N. EVENING CANYON RD.
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-2584
Mailing Address - Country:US
Mailing Address - Phone:714-833-7558
Mailing Address - Fax:323-269-2060
Practice Address - Street 1:3425 E. 1ST ST.
Practice Address - Street 2:#123-A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-2584
Practice Address - Country:US
Practice Address - Phone:714-833-7558
Practice Address - Fax:323-269-2060
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12046171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist