MEDICARE: ESTHER YOUNG YOON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A99299	CA

General Provider Information

NPI Number	:	1174725683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER YOUNG YOON M.D.

Provider Business Mailing Address
First Line	:	1901 BROADVIEW DR
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1201
Country	:	US
Telephone Number	:	818-246-3306
Fax Number	:	818-246-3333

Provider Business Practice Location Address
First Line	:	1901 BROADVIEW DR
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1201
Country	:	US
Telephone Number	:	818-246-3306
Fax Number	:	818-246-3333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	01/28/2021

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