MEDICARE: PAUL CHUNG-HYUN YOON D.P.M.

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	213E00000X	Podiatrist	E4554	CA

General Provider Information

NPI Number	:	1386683639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL CHUNG-HYUN YOON D.P.M.

Provider Business Mailing Address
First Line	:	1781 W ROMNEYA DR
Second Line	:	SUITE I
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1818
Country	:	US
Telephone Number	:	714-535-3668
Fax Number	:	714-526-6003

Provider Business Practice Location Address
First Line	:	1781 W ROMNEYA DR
Second Line	:	SUITE I
City	:	ANAHEIM
State	:	CA
Zip	:	92801-1818
Country	:	US
Telephone Number	:	714-535-3668
Fax Number	:	714-526-6003

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/21/2022

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