Provider Demographics
NPI:1255312005
Name:HYUN, DAVID (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:HYUN
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 1:2020 FOREST AVE STE. 3
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4805
Mailing Address - Country:US
Mailing Address - Phone:408-298-0433
Mailing Address - Fax:408-295-8818
Practice Address - Street 1:2020 FOREST AVE STE. 3
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4805
Practice Address - Country:US
Practice Address - Phone:408-298-0433
Practice Address - Fax:408-295-8818
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10025R207RC0000X
CAA56256207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
8A562560Medicare ID - Type Unspecified
G43397Medicare UPIN