MEDICARE: DR. YUNG HAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	A124276	CA

General Provider Information

NPI Number	:	1619218559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUNG HAN M.D.

Provider Business Mailing Address
First Line	:	505 S VIRGIL AVE STE 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1443
Country	:	US
Telephone Number	:	213-805-5822
Fax Number	:	213-805-5812

Provider Business Practice Location Address
First Line	:	505 S VIRGIL AVE STE 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1443
Country	:	US
Telephone Number	:	213-805-5822
Fax Number	:	213-805-5812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2013
Last Update Date	:	02/05/2018

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