Healthcare Provider Details

I. General information

NPI: 1295344372
Provider Name (Legal Business Name): LINDA YOON LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2020
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 ROSECRANS AVE STE 300
MANHATTAN BEACH CA
90266-2494
US

IV. Provider business mailing address

1230 ROSECRANS AVE STE 300
MANHATTAN BEACH CA
90266-2494
US

V. Phone/Fax

Practice location:
  • Phone: 213-222-8402
  • Fax: 310-919-2723
Mailing address:
  • Phone: 213-222-8402
  • Fax: 310-919-2723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LINDA YOON
Title or Position: OWNER
Credential: LCSW
Phone: 310-561-1008