MEDICARE: YN HEALTHCARE LLC

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1982332417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YN HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	11901 SANTA MONICA BLVD STE 209
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2783
Country	:	US
Telephone Number	:	424-317-0014
Fax Number	:	424-317-0917

Provider Business Practice Location Address
First Line	:	11901 SANTA MONICA BLVD STE 209
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2783
Country	:	US
Telephone Number	:	424-317-0014
Fax Number	:	424-317-0917

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SEON MI YOON
Credential	:	LAC
Telephone Number	:	424-317-0014

Provider Enumeration Date	:	08/11/2022
Last Update Date	:	03/31/2023

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