Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | A152905 | CA |
NPI | 1275829533 |
---|---|
Provider Name | Sunitha Lena Nune |
First Address | Los Angeles, CA 90074-4701 |
Second Address | San Bernardino, CA 92408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2011 |
Last Update Date | 06/08/2018 |