Healthcare Provider Details

I. General information

NPI: 1851065510
Provider Name (Legal Business Name): MINA YOON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2021
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S FLOWER ST
BURBANK CA
91502-2134
US

IV. Provider business mailing address

6012 DARLINGTON AVE
BUENA PARK CA
90621-2402
US

V. Phone/Fax

Practice location:
  • Phone: 213-207-6674
  • Fax:
Mailing address:
  • Phone: 714-422-6617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: