Healthcare Provider Details

I. General information

NPI: 1508090473
Provider Name (Legal Business Name): HYUN DON YUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 BARRANCA PKWY STE 210
IRVINE CA
92604-8648
US

IV. Provider business mailing address

14 APPLE VLY
IRVINE CA
92602-1014
US

V. Phone/Fax

Practice location:
  • Phone: 410-599-2882
  • Fax: 410-599-2882
Mailing address:
  • Phone: 410-599-2882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA172166
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberA172166
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA172166
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA172166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: