Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A79883 | CA |
NPI | 1164565917 |
---|---|
Provider Name | Sunny Jun |
First Address | Mountain View, CA 94040-6203 |
Second Address | Fremont, CA 94538-2299 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 07/12/2011 |