PACIFIC DERMATOPATHOLOGY
NPI 1013220722
Pathology - Dermatopathology in Studio City, CA

Active since July 22, 2010CLIA 05D0719378 · Certificate of Compliance
12409 VENTURA CT STE C, STUDIO CITY, CA 91604(818) 900-6007(818) 900-6607 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2019, Oct 17, 2018, Apr 23, 2018 (3 updates tracked since 2018).

About Pacific Dermatopathology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC DERMATOPATHOLOGY (NPI 1013220722) is a healthcare organization registered as a dermatopathology in Studio City, California and active in the NPI registry since July 2010. The organization holds a CLIA Certificate of Compliance certificate valid through February 20, 2028 and lists Jasmine H. Yun, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1013220722
Entity TypeOrganization
Primary Taxonomy207ZD0900X
Legal Business NameVAN DYKE YUN MEDICAL GROUP PACIFIC DERMATOPATHOLOGY & JASMINE YUN MD A
Location Address12409 VENTURA CT STE CStudio City, CA 91604-2471
Mailing Address12409 Ventura Ct Ste CStudio City, CA 91604-2471 · (818) 900-6007 · Fax (818) 900-6007
Fax(818) 900-6607
Organization SubpartNo
Authorized OfficialJasmine H. YunOwner/partner · (818) 900-6007
Enumeration DateJuly 22, 2010
Last NPPES UpdateJune 4, 20193 updates tracked since enumeration
NPI 1013220722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Definition
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.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
12409 VENTURA CT STE C, Studio City, CA 91604

Other Names 1

Doing Business AsPacific Dermatopathology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0719378

Pacific Dermatopathology · Studio City, CA
Active · expires Feb 20, 2028
CLIA Number05D0719378
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorGregory S. Van Dyke MD
Laboratory Phone(310) 828-4071
Laboratory LocationPacific Dermatopathology12409 Ventura Ct, Ste C, Studio City, CA 91604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
12409 VENTURA CT STE C
STUDIO CITY, CA 91604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A's NPI number?

The NPI number for Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A is 1013220722. It was assigned to this organization in the NPPES registry on July 22, 2010. The provider is doing business as Pacific Dermatopathology.

Where is Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A located?

Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A is located at 12409 Ventura Ct Ste C, Studio City, CA 91604. The listed phone number is (818) 900-6007.

What is Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Does Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0719378) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD A was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.