MEDICARE: YUMI KWON

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346091378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUMI KWON

Provider Business Mailing Address
First Line	:	16356 MISTY HILL DR
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-4684
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3576 ARLINGTON AVE STE 200
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3945
Country	:	US
Telephone Number	:	818-635-8704
Fax Number	:

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

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	03/28/2024

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Directions to “ YUMI KWON ” Practice Location

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