Provider Demographics
NPI:1831398700
Name:YUNE, JUNCHAN JOSHUA (MD)
Entity type:Individual
Prefix:
First Name:JUNCHAN
Middle Name:JOSHUA
Last Name:YUNE
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 1:11175 CAMPUS ST
Mailing Address - Street 2:SUITE 11120
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-1700
Mailing Address - Country:US
Mailing Address - Phone:909-558-8292
Mailing Address - Fax:909-478-3644
Practice Address - Street 1:11370 ANDERSON ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3450
Practice Address - Country:US
Practice Address - Phone:909-558-2830
Practice Address - Fax:909-558-2602
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00049047207V00000X
CAA97265207VF0040X, 2088F0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0237175OtherL&I
CACA170075OtherMEDICARE
WA8516973Medicaid
WA8947744OtherL&I CV
WA8516973Medicaid