Provider Demographics
NPI:1043691587
Name:MUHN, PETER HYUNWOO (DPT)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:HYUNWOO
Last Name:MUHN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:HYUNWOD
Other - Last Name:MUHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-442-2900
Mailing Address - Fax:323-442-1515
Practice Address - Street 1:1640 MARENGO ST, HRA-102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1036
Practice Address - Country:US
Practice Address - Phone:323-442-2900
Practice Address - Fax:323-442-1515
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT42908225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist