Basic Information
| Provider Information | |||||||||
| NPI: | 1003002197 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YOUN | ||||||||
| FirstName: | EUNHWA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | REGISTERED ASW | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 520 SO. LAFAYETTE PARK PLACE 3RD FLOOR | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2132522100 | ||||||||
| FaxNumber: | 2133833146 | ||||||||
| Practice Location | |||||||||
| Address1: | 520 SO. LAFAYETTE PARK PLACE 3RD FLOOR | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2132522100 | ||||||||
| FaxNumber: | 2133833146 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2007 | ||||||||
| LastUpdateDate: | 06/24/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | A26170 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | 174400000X | MHRS | CA | N | Other Service Providers | Specialist | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.