Active NPI
Yun MD Inc
- Orthopaedic Surgery Physician
- Marina del Rey, CA
National Provider Identifier
1417141110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A79179
- Legal business name
- YUN MD INC
- Practice address
- 13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6358 - Phone
- (310) 854-3800
- NPI assigned
- Sep 5, 2007
- Last updated
- Aug 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew G Yun, MD
- Title
- President
- Phone
- (310) 854-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A79179 | CA | Primary |
Addresses
Primary practice location
13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6358
Mailing address
122 Sheldon St
El Segundo, CA 90245-3915
Phone (310) 322-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A79179 | Other | CA | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
2001 Santa Monica Blvd
#760
Santa Monica, CA 90404
Phone (310) 582-7474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1417141110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 SHELDON ST",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453915",
"telephone_number": "310-322-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13160 MINDANAO WAY",
"address_2": "SUITE 300",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926358",
"telephone_number": "310-854-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "YUN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-854-3800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A79179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A79179",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.