MEDICARE: DR. DAVID K 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
1	207Y00000X	Otolaryngology Physician	A89415	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
3	P00332126	OTHER	RAILROAD MEDICARE
5	CJ8787	OTHER	RAILROAD MEDICARE
6	CJ8786	OTHER	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ56084Z	OTHER	CA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1336126820	OTHER		GROUP NPI
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	ZZZ61447Z	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1932186459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID K YUN MD

Provider Business Mailing Address
First Line	:	1505 WILSON TER
Second Line	:	#270
City	:	GLENDALE
State	:	CA
Zip	:	91206-4071
Country	:	US
Telephone Number	:	818-241-2101
Fax Number	:	818-241-2166

Provider Business Practice Location Address
First Line	:	1505 WILSON TER
Second Line	:	#270
City	:	GLENDALE
State	:	CA
Zip	:	91206-4071
Country	:	US
Telephone Number	:	818-241-2101
Fax Number	:	818-241-2166

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	09/24/2013

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Directions to “ DR. DAVID K YUN MD” Practice Location

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