Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | A116659 | CA |
NPI | 1194868901 |
---|---|
Provider Name | Dr. Weili Sun |
First Address | La Crescenta, CA 91214-1932 |
Second Address | La Crescenta, CA 91214-1932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 26/08/2019 |