Organization Name: | SAM H. YOON, MD |
NPI Number: | 1053721092 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAM YOON (PRESIDENT) |
Mailing Address: | 4161 Redondo Beach Blvd #100 Lawndale |
State: | CA US |
Postal Code: | 902603306 |
Phone Number: | 3102141407 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2014 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC2000X |
License Number: | 1063412005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Children |
Taxonomy Definition: |