MEDICARE: ESTHER YOON MD, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A99299	CA

General Provider Information

NPI Number	:	1104182856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESTHER YOON MD, INC

Provider Business Mailing Address
First Line	:	1901 BROADVIEW DR
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1201
Country	:	US
Telephone Number	:	818-246-3306
Fax Number	:	818-246-3333

Provider Business Practice Location Address
First Line	:	1901 BROADVIEW DR
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1201
Country	:	US
Telephone Number	:	818-246-3306
Fax Number	:	818-246-3333

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ESTHER YOON
Credential	:	M.D.
Telephone Number	:	818-246-3306

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	01/28/2021

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