Healthcare Provider Details

I. General information

NPI: 1366797318
Provider Name (Legal Business Name): HAENGHOON YOON D,AC L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8932 KATELLA AVE STE 103
ANAHEIM CA
92804-6297
US

IV. Provider business mailing address

8932 KATELLA AVE STE 103
ANAHEIM CA
92804-6297
US

V. Phone/Fax

Practice location:
  • Phone: 714-833-7558
  • Fax: 323-354-4823
Mailing address:
  • Phone: 714-833-7558
  • Fax: 323-354-4823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC12046
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: