Individual
JEONG MI YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14435 HAMLIN ST STE 108, VAN NUYS, CA 91401-6205
(818) 997-7117
Mailing address
1701 MARSHALLFIELD LN UNIT A, REDONDO BEACH, CA 90278-4109
(626) 695-2767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95023760
CA
Other
Enumeration date
01/02/2023
Last updated
03/01/2023
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