Provider Demographics
NPI:1497766109
Name:DUMN-MUH, JAN-YUAN (PT)
Entity Type:Individual
Prefix:
First Name:JAN-YUAN
Middle Name:
Last Name:DUMN-MUH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6888 LINCOLN AVE STE D
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4107
Mailing Address - Country:US
Mailing Address - Phone:714-484-1601
Mailing Address - Fax:
Practice Address - Street 1:6888 LINCOLN AVE STE D
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-4107
Practice Address - Country:US
Practice Address - Phone:714-484-1601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28718225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist