MEDICARE: JAMES BYUN

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	:	1689125957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES BYUN

Provider Business Mailing Address
First Line	:	9171 TOWNE CENTRE DR STE 215
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9171 TOWNE CENTRE DR STE 215
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1236
Country	:	US
Telephone Number	:	949-864-2365
Fax Number	:

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

Provider Enumeration Date	:	10/20/2016
Last Update Date	:	10/20/2016

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Directions to “ JAMES BYUN ” Practice Location

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