Provider Demographics
NPI:1679844914
Name:YOON, PAUL YOUNG
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:YOUNG
Last Name:YOON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:YOUNG
Other - Middle Name:SHIK
Other - Last Name:YOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3727 W 6TH ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-5105
Mailing Address - Country:US
Mailing Address - Phone:213-389-6755
Mailing Address - Fax:213-389-5172
Practice Address - Street 1:3727 W 6TH ST
Practice Address - Street 2:SUITE 320
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-5105
Practice Address - Country:US
Practice Address - Phone:213-389-6755
Practice Address - Fax:213-389-5172
Is Sole Proprietor?:No
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAREG. IMF 66714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist