Provider Demographics
NPI:1093817595
Name:YUN, MOON GIL (MD)
Entity Type:Individual
Prefix:DR
First Name:MOON
Middle Name:GIL
Last Name:YUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 VAN NESS WAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1482
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:855-877-9692
Practice Address - Street 1:37964 PINNACLE CT
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-3096
Practice Address - Country:US
Practice Address - Phone:650-533-5301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38297207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADD551YMedicare PIN