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Physician Compare National (NPI:1699847046)

HEALTHCARE PROVIDER: SCOTT KIWUN YUN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1699847046
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4981731601
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100823001029
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name YUN
Individual professional last name
Provider First Name SCOTT
Individual professional first name
Provider Middle Name KIWUN
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1987
Individual professional's medical school graduation year
Primary Specialty UROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 14350 WHITTIER BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 100
Group Practice or individual's line 2 address
City WHITTIER
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 906052122
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 050169
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 PRESBYTERIAN INTERCOMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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