Provider Demographics
NPI:1366064974
Name:YUN, HUBERT HYUN (OTR)
Entity type:Individual
Prefix:MR
First Name:HUBERT
Middle Name:HYUN
Last Name:YUN
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 LOS ENCANTOS CIR
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-2216
Mailing Address - Country:US
Mailing Address - Phone:714-402-3750
Mailing Address - Fax:
Practice Address - Street 1:5201 LOS ENCANTOS CIR
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-2216
Practice Address - Country:US
Practice Address - Phone:714-402-3750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10255225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist