Healthcare Provider Details

I. General information

NPI: 1811575905
Provider Name (Legal Business Name): HAYOUNG YOUN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD STE 6E34
NEWARK DE
19718-2200
US

IV. Provider business mailing address

4755 OGLETOWN STANTON RD STE 6E34
NEWARK DE
19718-2200
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-4186
  • Fax: 302-733-6905
Mailing address:
  • Phone: 302-733-4186
  • Fax: 302-733-6905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC1-0029872
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number190464
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberC1-0029872
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: