Healthcare Provider Details

I. General information

NPI: 1023949856
Provider Name (Legal Business Name): YOON CLINICAL SERVICES, A NURSING PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12203 SANTA GERTRUDES AVE UNIT 30
LA MIRADA CA
90638-1549
US

IV. Provider business mailing address

12203 SANTA GERTRUDES AVE UNIT 30
LA MIRADA CA
90638-1549
US

V. Phone/Fax

Practice location:
  • Phone: 213-364-0344
  • Fax:
Mailing address:
  • Phone: 213-364-0344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SENA YOON
Title or Position: OWNER
Credential: FNP-C
Phone: 213-364-0344