MEDICARE: DR. LUKE WHAN YOON M.D.

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	174400000X	Specialist	G083776	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114007747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE WHAN YOON M.D.

Provider Business Mailing Address
First Line	:	300 S HOBART BLVD
Second Line	:	SUITE 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-3635
Country	:	US
Telephone Number	:	213-387-6564
Fax Number	:	213-387-3495

Provider Business Practice Location Address
First Line	:	300 S HOBART BLVD
Second Line	:	SUITE 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-3635
Country	:	US
Telephone Number	:	213-387-6564
Fax Number	:	213-387-3495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	03/16/2015

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