Healthcare Provider Details

I. General information

NPI: 1518884493
Provider Name (Legal Business Name): HYUNJUNG YOO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 N PACIFIC COAST HWY
EL SEGUNDO CA
90245-4444
US

IV. Provider business mailing address

22940 MAPLE AVE APT 12
TORRANCE CA
90505-2770
US

V. Phone/Fax

Practice location:
  • Phone: 310-640-9651
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: