Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | A138242 | CA |
N | 207RS0012X | Sleep Medicine | A138242 | CA |
NPI | 1336294107 |
---|---|
Provider Name | Dr. Bernie Young Sunwoo |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 27/08/2018 |