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NPI Code Detail

MEDICARE: YOUNG SOOK YUN MD

MEDICARE: YOUNG SOOK YUN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician00A337800CA

General Provider Information

NPI Number : 1003860867
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOUNG SOOK YUN MD
Provider Business Mailing Address
First Line : 12828 HARBOR BLVD
Second Line : #320
City : GARDEN GROVE
State : CA
Zip : 92840-2005
Country : US
Telephone Number : 714-636-0133
Fax Number : 714-636-3833
Provider Business Practice Location Address
First Line : 12828 HARBOR BLVD
Second Line : #320
City : GARDEN GROVE
State : CA
Zip : 92840-2005
Country : US
Telephone Number : 714-636-0133
Fax Number : 714-636-3833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 12/06/2010

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Directions to “ YOUNG SOOK YUN MD” Practice Location

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