MEDICARE: CATHERINE ROSE YUN

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	213ES0103X	Foot & Ankle Surgery Podiatrist	E6144	CA

General Provider Information

NPI Number	:	1053991646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ROSE YUN

Provider Business Mailing Address
First Line	:	99 HIGHWAY 37 W
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-6423
Country	:	US
Telephone Number	:	732-557-2604
Fax Number	:

Provider Business Practice Location Address
First Line	:	1810 GRAND CANAL BLVD STE 2
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95207-8110
Country	:	US
Telephone Number	:	209-952-1612
Fax Number	:	209-952-1613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	08/05/2025

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Directions to “ CATHERINE ROSE YUN ” Practice Location

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