MEDICARE: EVELYN YOON

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	183500000X	Pharmacist	77470	CA

General Provider Information

NPI Number	:	1760992655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN YOON

Provider Business Mailing Address
First Line	:	927 N DUKE PL
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-3212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5317 BEACH BLVD
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-1231
Country	:	US
Telephone Number	:	714-670-7979
Fax Number	:

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

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	04/19/2020

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Directions to “ EVELYN YOON ” Practice Location

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