Provider Demographics
NPI:1063629921
Name:HU, LIN YUN (DDS)
Entity Type:Individual
Prefix:
First Name:LIN
Middle Name:YUN
Last Name:HU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:212 S ATLANTIC BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:EAST LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1754
Mailing Address - Country:US
Mailing Address - Phone:323-722-6600
Mailing Address - Fax:323-722-6664
Practice Address - Street 1:212 S ATLANTIC BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:EAST LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1754
Practice Address - Country:US
Practice Address - Phone:323-722-6600
Practice Address - Fax:323-722-6664
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA#441851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB-44185-03OtherHEALTHY FAMILIES
CA827247OtherUNITED CONCORDIA
CAB-44185-02OtherMEDICAL