Edward Jeku Yun, MD | |
801 S. Main St., Suite 201, Corona, CA 92882 | |
(951) 735-2700 | |
(951) 256-8255 |
Full Name | Edward Jeku Yun |
---|---|
Gender | Male |
Speciality | Urology |
Location | 801 S. Main St., Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295753960 | NPI | - | NPPES |
00A730550 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A73055 (California) | Primary |
Entity Name | Urology Center Of So Calif Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750604948 PECOS PAC ID: 6406745439 Enrollment ID: O20040315001245 |
Mailing Address | Practice Location Address |
---|---|
Edward Jeku Yun, MD 801 S. Main St., Suite 201, Corona, CA 92882 Ph: (951) 735-2700 | Edward Jeku Yun, MD 801 S. Main St., Suite 201, Corona, CA 92882 Ph: (951) 735-2700 |
Sy Tsi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 801 S. Main St., Suite 201, Corona, CA 92882 Phone: 951-735-2700 Fax: 951-256-8255 | |
Dr. Frank H Kim, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 801 S Main St Ste 201, Corona, CA 92882 Phone: 951-735-2700 Fax: 951-735-7564 | |
Dr. Erin E Katz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6937 | |
Eric L Shepard, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 802 Magnolia Ave, Ste. 200, Corona, CA 92879 Phone: 951-734-2900 Fax: 951-734-0385 | |
Bruce Houman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1820 Fullerton Ave, Suite 260, Corona, CA 92881 Phone: 951-735-2700 Fax: 951-256-8255 |