MEDICARE: STEVE S. YOON, DPM A PROFESSIONAL CORPORATION

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	213ES0131X	Foot Surgery Podiatrist	E4436	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	:	1730238692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVE S. YOON, DPM A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1315 N TUSTIN ST # I-383
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-3905
Country	:	US
Telephone Number	:	714-547-3346
Fax Number	:	714-547-3252

Provider Business Practice Location Address
First Line	:	12555 GARDEN GROVE BLVD STE 303
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1903
Country	:	US
Telephone Number	:	714-537-4100
Fax Number	:	714-537-4126

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVE S YOON
Credential	:	D.P.M.
Telephone Number	:	714-547-3346

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/26/2014

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