Healthcare Provider Details

I. General information

NPI: 1427721737
Provider Name (Legal Business Name): KEVIN HYUN YU DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2021
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 DOLORES STREET
LOS ANGELES CA
90065
US

IV. Provider business mailing address

7467 WESTCLIFF DR
WEST HILLS CA
91307-5210
US

V. Phone/Fax

Practice location:
  • Phone: 818-369-7620
  • Fax:
Mailing address:
  • Phone: 818-825-6383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: