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General NPI Number Information
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NPI Number | 1740095124
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Entity Type | Organization
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Legal Business Name | YOON OPHTHALMOLOGY, PC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 462 STEVENS AVE STE 309
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2066
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Country | US
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Telephone | 858-222-2468
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Fax |
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Provider Business Mailing Address
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Address Line | 11059 LOPEZ RIDGE WAY
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City | SAN DIEGO
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State | CA
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Zip | 92121-4133
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Country | US
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Telephone | 917-531-8725
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DAN YOON
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Credential | MD
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Telephone | 858-222-2468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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