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NPI Code Detail

MEDICARE: SAM YOON MD

MEDICARE:   SAM  YOON  MD
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
1208000000XPediatrics PhysicianA33684CA

Other Identifiers

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

General Provider Information

NPI Number : 1538272802
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAM YOON MD
Provider Business Mailing Address
First Line : 4177 REDONDO BEACH BLVD
Second Line :
City : LAWNDALE
State : CA
Zip : 90260-3340
Country : US
Telephone Number : 310-214-1407
Fax Number : 310-214-1488
Provider Business Practice Location Address
First Line : 4177 REDONDO BEACH BLVD
Second Line :
City : LAWNDALE
State : CA
Zip : 90260-3340
Country : US
Telephone Number : 310-214-1407
Fax Number : 310-214-1488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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Directions to “ SAM YOON MD” Practice Location

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