Doctor Name: | DR. SUCK Y YOUN |
NPI Number: | 1568677557 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A33258 |
Business Practice Address: | 1108 W 17th St Santa Ana, CA - 927063506 |
Business Phone Number: | 7146480060 |
Business Fax Number: | 7146480063 |
Mailing Address: | 3 Spoonbill Dr, ALISO VIEJO |
State: | CA |
Postal Code: | 926561877 |
Phone Number: | 9498299371 |
Fax Number: | 9496008938 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A33258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |