Healthcare Provider Details

I. General information

NPI: 1558236992
Provider Name (Legal Business Name): YOON CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 ARMY DR. HARMON LOOP PLAZA STE #3
DEDEDO GU
96929
US

IV. Provider business mailing address

PMB 1115 1270 N. MARINE CORPS DR. STE 101
TAMUNING GU
96913
US

V. Phone/Fax

Practice location:
  • Phone: 671-637-2008
  • Fax:
Mailing address:
  • Phone: 671-637-2008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JINMO YOON
Title or Position: PRESIDENT
Credential: D.C, LAC
Phone: 671-637-2008