Healthcare Provider Details

I. General information

NPI: 1225680879
Provider Name (Legal Business Name): WOON MIN YEO D.C., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2019
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 E CHAPMAN AVE STE F
FULLERTON CA
92831-3955
US

IV. Provider business mailing address

1351 E CHAPMAN AVE STE F
FULLERTON CA
92831-3955
US

V. Phone/Fax

Practice location:
  • Phone: 714-340-5351
  • Fax: 657-217-2747
Mailing address:
  • Phone: 714-340-5351
  • Fax: 657-217-2747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number18256
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number35141
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: