VAN DYKE YUN MEDICAL GROUP PACIFIC DERMATOPATHOLOGY & JASMINE YUN MD A (NPI# 1013220722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013220722 |
| Entity Type | Organization |
| Organization Name | VAN DYKE YUN MEDICAL GROUP PACIFIC DERMATOPATHOLOGY & JASMINE YUN MD A |
| Other Organization Name | PACIFIC DERMATOPATHOLOGY |
| Practice Address |
12409 Ventura Ct Ste C Studio City CA 91604-2471 |
| Practice Telephone | 8189006007 |
| Practice Fax Number | 8189006607 |
| Mailing Telephone | 8189006007 |
| Mailing Fax Number | 8189006007 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | JASMINE H. YUN (OWNER/PARTNER) |
| Authorized Official Telephone | 8189006007 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pacific Dermatopathology | Doing Business As Name - Organization |
| Street Address |
12409 VENTURA CT STE C |
| City | STUDIO CITY |
| State | CA |
| Zip Code | 91604-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629195656 | Jasmine Yun | Dermatology | 12409 Ventura Ct Ste C, Studio City, CA 91604-2471 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971745 | Natalie M Maddison | Developmental Therapist | 4397 Tujunga Ave, Studio City, CA 91604 | 2019-09-16 |
| 1134774441 | Elizabeth Anne Wells | Social Worker | 4512 St. Clair Ave., Studio City, CA 91604 | 2019-08-04 |
| 1740751262 | Luminita Elena Docan | Counselor | 12456 Laurel Terrace Dr, #1, Studio City, CA 91604 | 2018-12-10 |
| 1568981041 | Lost Sheep, LLC | Substance Abuse Rehabilitation Facility | 4198 Sunswept Drive, Los Angeles, CA 91604 | 2017-09-15 |
| 1376072652 | Ambursd Medical Transportation Inc. | Non-emergency Medical Transport (VAN) | 11012 Ventura Blvd Suite # H, Studio City, CA 91604 | 2017-06-08 |
| 1134502784 | Stephen Earl Genender | Plastic Surgery | 3293 Wrightwood Dr., Studio City, CA 91604 | 2015-07-01 |
| 1306277298 | Dr. Ike, Inc. | Pharmacy | 11738 Ventura Blvd., Studio City, CA 91604 | 2013-12-03 |
| 1770916769 | Jon-paul Gamboa | Behavioral Analyst | 121754 Ventura Blvd., Ste D, Studio City, CA 91604 | 2013-08-14 |
| 1518308568 | Alexis Anne Prescott | Counselor | 11712 Moorpark St Ste 211, Studio City, CA 91604 | 2013-07-07 |
| 1154764157 | Peter Joseph Vogelsang | Internal Medicine | 11623 Dona Alicia Place, Studio City, CA 91604 | 2013-04-10 |
| Find all providers in zip 91604 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165480 | Robert Preston Wisner | Pathology | 716 Elmwood Dr, Davis, CA 95616-3517 | 2017-03-21 |
| 1124386032 | Sepehr Hamidi | Pathology | 10833 Le Conte Ave # 255-c, Los Angeles, CA 90095 | 2012-04-27 |
| 1700175684 | Yuna Kang | Pathology | 10833 Le Conte Ave Rm B186, Los Angeles, CA 90095 | 2011-03-31 |
| 1760656169 | Michelle Cathleen Hure | Pathology | 31899 Del Obispo St Ste 130, San Juan Capistrano, CA 92675-3234 | 2008-04-16 |
| 1700074143 | Salma Dabiri | Pathology | 100 Albright Way, Suite C, Los Gatos, CA 95032-1837 | 2007-10-10 |
| 1083817548 | Matthew Russell Muenster | Pathology | 1921 N Gateway Blvd Ste 101, Fresno, CA 93727-1679 | 2007-06-11 |
| 1215051669 | Roupen Yaghsezian | Pathology | 22632 Ocean Way, Laguna Niguel, CA 92677-5436 | 2007-03-19 |
| 1154451243 | Hugh Randolph Byers | Pathology | 3701 S Higuera St Ste 200, San Luis Obispo, CA 93401-7462 | 2007-03-07 |
| 1184750952 | Rajni Valli Mandal | Pathology | 1122 E Acacia Ave, Glendale, CA 91205-2536 | 2007-02-26 |
| 1912096413 | Lloyd D Smith Jr. | Pathology | 961 N Emerald, #d, Modesto, CA 95351-1556 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
| City | STUDIO CITY |
| Zip Code | 91604 |
Please comment or provide details below to improve the information on VAN DYKE YUN MEDICAL GROUP PACIFIC DERMATOPATHOLOGY & JASMINE YUN MD A.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.