Healthcare Provider Details

I. General information

NPI: 1437785367
Provider Name (Legal Business Name): JIHYUN YUN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E RIVER PARK CIR STE 460
FRESNO CA
93720-1585
US

IV. Provider business mailing address

205 E RIVER PARK CIR STE 460
FRESNO CA
93720-1585
US

V. Phone/Fax

Practice location:
  • Phone: 559-261-4500
  • Fax:
Mailing address:
  • Phone: 559-261-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1437785367
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: