Provider Demographics
NPI:1952452153
Name:YUN, LAUREN HYE CHIN (OD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:HYE CHIN
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 1:9720 1/2 WOODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-8061
Mailing Address - Country:US
Mailing Address - Phone:818-445-9102
Mailing Address - Fax:
Practice Address - Street 1:9720 1/2 WOODMAN AVE
Practice Address - Street 2:
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331-8061
Practice Address - Country:US
Practice Address - Phone:818-445-9102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12153T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0121530Medicaid