Provider Demographics
NPI:1366216558
Name:MIN JUN, INC
Entity type:Organization
Organization Name:MIN JUN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIN SUK
Authorized Official - Middle Name:
Authorized Official - Last Name:JUN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-306-4726
Mailing Address - Street 1:1400 PINE ST UNIT 640810
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94164-4732
Mailing Address - Country:US
Mailing Address - Phone:415-357-7066
Mailing Address - Fax:
Practice Address - Street 1:2100 WEBSTER ST STE 416
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2379
Practice Address - Country:US
Practice Address - Phone:415-357-7066
Practice Address - Fax:415-704-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty