Kyu Ho Yun, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A33745 Issued in CA

Practice address

12828 Harbor BL
#320
Garden Grove, CA 92840-2005

Phone

(714) 636-0133

Fax

(714) 636-3833

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1366491383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BL",
            "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 BL",
            "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": "KYU",
        "middle_name": "HO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A337450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Yu, PHARM.D
• Jane Yu, DDS
• Mi Sun Yu, AC
• Karen Melissa Yuman
• Gregory K. Yun, DC
• Young Sook Yun, MD
• Shantel Yung
• Carlos Zagal
• Rafia Zaidi
• Melissa Zaklan

• Internal Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.