MEDICARE: MOSES HYUN, M.D INC.

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
1	207RC0000X	Cardiovascular Disease Physician	A40302	CA
2	207RG0100X	Gastroenterology Physician	A40302	CA
3	207R00000X	Internal Medicine Physician	A40302	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043238769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSES HYUN, M.D INC.

Provider Business Mailing Address
First Line	:	966 S WESTERN AVE
Second Line	:	STE 204
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-1013
Country	:	US
Telephone Number	:	323-735-1300
Fax Number	:	323-735-6734

Provider Business Practice Location Address
First Line	:	966 S WESTERN AVE
Second Line	:	STE 204
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-1013
Country	:	US
Telephone Number	:	323-735-1300
Fax Number	:	323-735-6734

Authorized Official
Title or Position	:	OWNER, M.D.
Name	:	MOSES HYUN
Credential	:	M.D.
Telephone Number	:	323-735-1300

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	10/08/2007

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Directions to “MOSES HYUN, M.D INC. ” Practice Location

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