Physician Compare National (NPI:1730178369)

HEALTHCARE PROVIDER: ELISABETH SUNGHEE YOUN D.P.M.

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

Individual Professional Information
NPI	1730178369
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618872268
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031205000326
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YOUN
	Individual professional last name
Provider First Name	ELISABETH
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1711 W TEMPLE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 5606
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900265421
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2139896107
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050763
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SILVER LAKE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y