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Andrew Glen Yun

Orthopaedic Surgery

Allopathic & Osteopathic Physicians

9033 Wilshire Blvd Ste 360, Beverly Hills, CA 90211-1846

PECOS Enrollment

This provider is enrolled in PECOS as ANDREW YUN.

Based on the most recent information from CMS, provider Andrew Glen Yun is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1083674410
Provider Type
Individual
Full Name
Yun, Andrew Glen
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2006
Last Updated
8/1/2024

Contact Information

Practice Location

9033 Wilshire Blvd Ste 360, Beverly Hills, CA 90211-1846

(310) 601-3366

Unlisted Fax

Mailing Location

PO Box 31309, Los Angeles, CA 90031-0309

(310) 601-3366

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207X00000X Primary	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License A79179 California
Code 174400000X	Description Specialist Other Service Providers	License A79179 California

Andrew Glen Yun

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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