Provider Demographics
NPI:1730314766
Name:YUN, SYLVIA (OD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:YUN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 FULLERTON RD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2614
Mailing Address - Country:US
Mailing Address - Phone:626-581-4600
Mailing Address - Fax:626-529-0927
Practice Address - Street 1:1727 FULLERTON RD
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2614
Practice Address - Country:US
Practice Address - Phone:626-581-4600
Practice Address - Fax:626-529-0927
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2013-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12959T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist