# YUN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417141110
- **Authorized official:** ANDREW G YUN MD (PRESIDENT)
- **Authorized official phone:** (310) 854-3800

## Contact information

- **Practice address:** 13160 MINDANAO WAY, SUITE 300, MARINA DEL REY, CA 90292-6358
- **Practice address phone:** (310) 854-3800
- **Mailing address:** 122 SHELDON ST, EL SEGUNDO, CA 90245-3915
- **Mailing address phone:** (310) 322-4278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A79179 | CA | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 08/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A79179 | MEDICAL LICENSE | CA |