Healthcare Provider Details

I. General information

NPI: 1194920470
Provider Name (Legal Business Name): STEVE YOON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 PARK TER 400
LOS ANGELES CA
90045-1543
US

IV. Provider business mailing address

PO BOX 512906
LOS ANGELES CA
90051-0906
US

V. Phone/Fax

Practice location:
  • Phone: 310-665-7200
  • Fax: 888-972-9261
Mailing address:
  • Phone: 310-665-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA107498
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberA107498
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: