Organization Active NPI

Jiseung Yoon, MD

  • Medical Specialty Clinic/Center
  • Corona, CA
National Provider Identifier
1679338529
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JISEUNG YOON, MD
Practice address
222 W 6TH St
Corona, CA 92882-3301
Phone
(714) 485-8911
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Dr. Jiseung Yoon, MD
Title
Owner
Phone
(909) 485-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

222 W 6TH St
Corona, CA 92882-3301

Mailing address

2160 Barranca Pkwy # 1174
Irvine, CA 92606-4940
Phone (909) 485-7974

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1679338529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 BARRANCA PKWY # 1174",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926064940",
            "telephone_number": "909-485-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823301",
            "telephone_number": "714-485-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JISEUNG YOON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JISEUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-485-7974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.