1427628569 NPI number — HOPE WELLNESS COUNSELING, INC.

Table of content: MR. SANG WON YOON DMD (NPI 1427865278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427628569 NPI number — HOPE WELLNESS COUNSELING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE WELLNESS COUNSELING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427628569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 N MCKINLEY ST # 111-428
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORONA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92879-8099
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-426-0017
Provider Business Mailing Address Fax Number:
951-432-5707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12155 MAGNOLIA AVE STE 3G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92503-4969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-426-0017
Provider Business Practice Location Address Fax Number:
951-432-5707
Provider Enumeration Date:
06/30/2021

Additional Information

Authorized Official

Authorized Official Last Name:
SERRANO
Authorized Official First Name:
TERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
951-426-0017

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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