MEDICARE: YOUNGJIN 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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1861119901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUNGJIN YOON

Provider Business Mailing Address
First Line	:	3131 ARLINGTON AVE APT 102
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 ARLINGTON AVE APT 102
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3241
Country	:	US
Telephone Number	:	951-966-8336
Fax Number	:

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

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

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Directions to “ YOUNGJIN YOON ” Practice Location

Language	Start Address	Practice Location

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