Provider Demographics
NPI:1043838816
Name:JUN, ROBERT (DPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:JUN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:JUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DR JUN
Mailing Address - Street 1:12657 CHESHIRE ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7320
Mailing Address - Country:US
Mailing Address - Phone:562-237-2379
Mailing Address - Fax:
Practice Address - Street 1:12657 CHESHIRE ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-7320
Practice Address - Country:US
Practice Address - Phone:562-237-2379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist