Individual
TAE YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1400 N HARBOR BLVD STE 103, FULLERTON, CA 92835-4107
(626) 993-8278
Mailing address
1400 N HARBOR BLVD STE 103, FULLERTON, CA 92835-4107
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95021116
CA
363LP2300X
Primary Care Nurse Practitioner
95021116
CA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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