Active NPI
Myungjune Yu
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292002
- Practice address
- 520 S Virgil Ave Ste 201
Los Angeles, CA 90020-1425 - Phone
- (213) 365-0023
- NPI assigned
- Feb 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01529800 | NJ | |
| Physical Therapist | 225100000X | 292002 | CA | Primary |
Addresses
Primary practice location
520 S Virgil Ave Ste 201
Los Angeles, CA 90020-1425
Mailing address
520 S Virgil Ave Ste 201
Los Angeles, CA 90020-1425
Phone (213) 365-0023
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292002 | Other | CA | LICENSE |
| 40QA01529800 | Other | NJ | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 S Virgil Ave
Suite 201
Los Angeles, CA 90020-1425
Phone (213) 365-0023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292002 | CA | MD | Physical Therapist |
| 40QA01529800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Physical Therapy & Rehab PC | Physical Therapist | Current | Accepting new patients |
Locations
3251 W 6th St
Ste 410
Los Angeles, CA 90020
Phone (213) 388-0182
520 S Virgil Ave
Ste 201
Los Angeles, CA 90020
Phone (213) 365-0023
18771 Colima Rd
Rowland Hghts, CA 91748
Phone (626) 269-0706
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1790188928
-
- Physical Therapist
- Los Angeles, CA
- NPI 1457875494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1013307578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S VIRGIL AVE STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201425",
"telephone_number": "213-365-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S VIRGIL AVE STE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201425",
"telephone_number": "213-365-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "MYUNGJUNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-04",
"last_updated": "2021-09-23",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01529800",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "292002",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "40QA01529800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.