Individual provider Active NPI

Eun Hye Yeon, FNP

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1003645326
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F05240243 Issued in CA
Practice address
1727 Crenshaw Blvd
Torrance, CA 90501-3312
Phone
(310) 373-7855
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F05240243 CA
Family Medicine Physician 207Q00000X F05240243 CA Primary

Addresses

Primary practice location

1727 Crenshaw Blvd
Torrance, CA 90501-3312

Mailing address

1800 Oak St Unit 807
Torrance, CA 90501-3374
Phone (971) 266-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512002152 CA Practitioner - Nurse Practitioner 0042737173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richard M Butlig M D IncGroup PAC ID 1254472525, 8 clinicians

Practice addresses (Care Compare)

1727 Crenshaw Blvd
Torrance, CA 90501-3312
Phone (310) 373-7855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05240243CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M Butlig MD Inc CurrentSince Apr 15, 2025 Accepting new patients

Locations

1727 Crenshaw Blvd
Torrance, CA 90501
Phone (310) 373-7855

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1003645326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 OAK ST UNIT 807",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013374",
            "telephone_number": "971-266-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013312",
            "telephone_number": "310-373-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEON",
        "first_name": "EUN HYE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "F05240243",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "F05240243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.