Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD00049047 | WA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A97265 | CA |
NPI | 1831398700 |
---|---|
Provider Name | Junchan Joshua Yune |
First Address | Loma Linda, CA 92350-1700 |
Second Address | Loma Linda, CA 92354-3450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 03/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0237175 | L&I (01) | WA |
8516973 | (05) | WA |
8947744 | L&I CV (01) | WA |
CA170075 | MEDICARE (01) | CA |