| Edward Jeku Yun, MD | |
| 801 S. Main St., Suite 201, Corona, CA 92882 | |
| (951) 735-2700 | |
| (951) 256-8255 | 
| Full Name | Edward Jeku Yun | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 801 S. Main St., Corona, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295753960 | NPI | - | NPPES | 
| 00A730550 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | A73055 (California) | Primary | 
| Entity Name | Urology Center Of So Calif Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750604948 PECOS PAC ID: 6406745439 Enrollment ID: O20040315001245 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edward Jeku Yun, MD 801 S. Main St., Suite 201, Corona, CA 92882 Ph: (951) 735-2700 | Edward Jeku Yun, MD 801 S. Main St., Suite 201, Corona, CA 92882 Ph: (951) 735-2700 | 
| Sy Tsi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 801 S. Main St., Suite 201, Corona, CA 92882 Phone: 951-735-2700 Fax: 951-256-8255 | |
| Dr. Frank H Kim, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 801 S Main St Ste 201, Corona, CA 92882 Phone: 951-735-2700 Fax: 951-735-7564 | |
| Dr. Erin E Katz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6937 Fax: 951-826-8123 | |
| Eric L Shepard, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 802 Magnolia Ave, Ste. 200, Corona, CA 92879 Phone: 951-734-2900 Fax: 951-734-0385 | |
| Bruce Houman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1820 Fullerton Ave, Suite 260, Corona, CA 92881 Phone: 951-735-2700 Fax: 951-256-8255 |