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General NPI Number Information
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NPI Number | 1053721092
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Entity Type | Organization
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Legal Business Name | SAM H. YOON, MD
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 4161 REDONDO BEACH BLVD #100
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City | LAWNDALE
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State | CA
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Zip | 90260-3306
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Country | US
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Telephone | 310-214-1407
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Fax |
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Provider Business Mailing Address
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Address Line | 4161 REDONDO BEACH BLVD #100
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City | LAWNDALE
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State | CA
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Zip | 90260-3306
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Country | US
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Telephone | 310-214-1407
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAM YOON
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Credential |
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Telephone | 310-214-1407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 1063412005
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License Number State | CA
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