MEDICARE: INHWA BYUN BSS

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	:	1932535168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INHWA BYUN BSS

Provider Business Mailing Address
First Line	:	2009 LEE WAY
Second Line	:
City	:	MILPITAS
State	:	CA
Zip	:	95035-9019
Country	:	US
Telephone Number	:	408-351-5159
Fax Number	:

Provider Business Practice Location Address
First Line	:	2033 GATEWAY PL STE 664
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95110-3709
Country	:	US
Telephone Number	:	408-351-5159
Fax Number	:

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

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	05/24/2023

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Directions to “ INHWA BYUN BSS” Practice Location

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