Active NPI
Young Sook Yun, MD
- Diagnostic Radiology Physician
- Garden Grove, CA
National Provider Identifier
1003860867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00A337800
- Practice address
- 12828 Harbor Blvd
#320
Garden Grove, CA 92840-2005 - Phone
- (714) 636-0133
- Fax
- (714) 636-3833
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 00A337800 | CA | Primary |
Addresses
Primary practice location
12828 Harbor Blvd
#320
Garden Grove, CA 92840-2005
Mailing address
12828 Harbor Blvd
#320
Garden Grove, CA 92840-2005
Phone (714) 636-0133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A337800 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1003860867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12828 HARBOR BLVD",
"address_2": "#320",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928402005",
"telephone_number": "714-636-0133",
"fax_number": "714-636-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12828 HARBOR BLVD",
"address_2": "#320",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928402005",
"telephone_number": "714-636-0133",
"fax_number": "714-636-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUN",
"first_name": "YOUNG",
"middle_name": "SOOK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "00A337800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.