Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A152487 | CA |
Y | 111NI0900X | Internist | A152487 | CA |
NPI | 1003278177 |
---|---|
Provider Name | Christine Sun |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Santa Monica, CA 90404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2016 |
Last Update Date | 03/10/2019 |