Provider Demographics
NPI:1306200126
Name:MUN, MICHAEL HOHYUN (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:HOHYUN
Last Name:MUN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 N ANAHEIM BLVD
Mailing Address - Street 2:UNIT 408
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2987
Mailing Address - Country:US
Mailing Address - Phone:619-250-6929
Mailing Address - Fax:
Practice Address - Street 1:360 SURREY DR
Practice Address - Street 2:
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-2350
Practice Address - Country:US
Practice Address - Phone:619-470-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18557208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program