Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A
Pathology, Dermatopathology in Studio City, CA. Organization (NPI-2).
NPI number1013220722
StatusActive
Last updated in NPPESJun 4, 2019
Details
- NPI
- 1013220722
- Entity type
- Organization (NPI-2)
- Legal business name
- Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A
- Organization subpart
- No
- Enumeration date
- Jul 22, 2010
- Last updated
- Jun 4, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZD0900X | Pathology, Dermatopathology | – | – | Yes |
| 207N00000X | Dermatology | – | – | |
| 291U00000X | Clinical Medical Laboratory | – | – |
Other names
- Pacific Dermatopathology (Doing Business As)
Practice location
12409 Ventura Ct Ste CStudio City, CA 91604-2471
Phone 818-900-6007 · Fax 818-900-6607
Mailing address
12409 Ventura Ct Ste CStudio City, CA 91604-2471
Phone 818-900-6007 · Fax 818-900-6007
Authorized official
Jasmine H. Yun
Owner/Partner
8189006007
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