NPIMap

Individual provider Active NPI

Eun Joo Yoon, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1821091661
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54010 Issued in CA
Practice address
2560 W Olympic Blvd Ste 101B
Los Angeles, CA 90006-2998
Phone
(213) 480-1000
Fax
(213) 386-0211
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A54010 CA
Internal Medicine Physician 207R00000X A54010 CA Primary

Addresses

Primary practice location

2560 W Olympic Blvd Ste 101B
Los Angeles, CA 90006-2998

Mailing address

2560 W Olympic Blvd Ste 101B
Los Angeles, CA 90006-2998
Phone (213) 480-1000

Other identifiers 3

IdentifierTypeStateIssuer
00A540100MedicaidCA
11007046OtherCACAQH
A54010OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001413 CA Practitioner - Internal Medicine 8527039072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2560 W Olympic Blvd
Suite 101B
Los Angeles, CA 90006-2998
Phone (213) 480-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54010CAMDGeneral Practice Dentistry
A54010CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hana Medical Center Inc Internal Medicine CurrentSince Feb 7, 2010 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Hana OB/GYN Medical Group Inc. Past Accepting new patients

Locations

2560 W Olympic Blvd
Ste 101B
Los Angeles, CA 90006
Phone (213) 480-1000

2017 W Olympic Blvd
Los Angeles, CA 90006
Phone (213) 368-6908

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821091661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 W OLYMPIC BLVD STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062998",
            "telephone_number": "213-480-1000",
            "fax_number": "213-386-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 W OLYMPIC BLVD STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062998",
            "telephone_number": "213-480-1000",
            "fax_number": "213-386-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "EUN",
        "middle_name": "JOO",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A54010",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A540100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11007046",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A54010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.