Healthcare Provider Details

I. General information

NPI: 1821734005
Provider Name (Legal Business Name): HYOCHEONG BYEON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9650 MILLIKEN AVE APT 5303
RANCHO CUCAMONGA CA
91730-6078
US

IV. Provider business mailing address

9650 MILLIKEN AVE APT 5303
RANCHO CUCAMONGA CA
91730-6078
US

V. Phone/Fax

Practice location:
  • Phone: 909-730-0773
  • Fax:
Mailing address:
  • Phone: 315-706-5027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC36213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: