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1457414989 NPI number — DENNIS YUN MD

NPI Number: 1457414989
Health Care Provider/Practitioner: DENNIS YUN MD

Information about “1457414989” NPI (DENNIS YUN MD) exists in 1457414989 in HTML format HTML  |  1457414989 in plain Text format TXT  |  1457414989 in PDF (Portable Document Format) PDF  |  1457414989 in an XML format XML  formats.

NPI Number : 1457414989 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457414989",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YUN",
    "FirstName": "DENNIS",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5561 VIA PORTORA UNIT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAGUNA WOODS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92637-6958",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "855-985-7246",
    "MailingAddressFaxNumber": "855-985-7246",
    "FirstLinePracticeLocationAddress": "13160 MINDANAO WAY STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARINA DEL REY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90292-6393",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "855-985-7246",
    "PracticeLocationAddressFaxNumber": "855-985-7246",
    "EnumerationDate": "12/18/2006",
    "LastUpdateDate": "02/28/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207LP2900X",
          "TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
          "LicenseNumber": "A93764",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208VP0014X",
          "TaxonomyName": "Interventional Pain Medicine Physician",
          "LicenseNumber": "A93764",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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