Sam Yoon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A33684 Issued in CA

Practice address

4177 Redondo Beach Blvd
Lawndale, CA 90260-3340

Phone

(310) 214-1407

Fax

(310) 214-1488

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538272802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4177 REDONDO BEACH BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603340",
            "telephone_number": "310-214-1407",
            "fax_number": "310-214-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4177 REDONDO BEACH BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603340",
            "telephone_number": "310-214-1407",
            "fax_number": "310-214-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "SAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A33684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A33684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W. T. Walker, M.D
• Wecare Home
• Lakeysher Swantima Whitfeld
• Benjamin Widener
• Christopher Xu, DMD, MS
• Yvonne L. Yan, D.C., a Chiropractic Professional Corp.
• Ruben Zemlyak, D.C.

• Pediatrics Physician in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.