| Doctor Name: | DEREK SUN |
| NPI Number: | 1174898019 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A125532 |
| Business Practice Address: | 1600 Divisadero St Room C250 San Francisco, CA - 941153010 |
| Business Phone Number: | 4158857464 |
| Business Fax Number: | 4158857876 |
| Mailing Address: | 1600 Divisadero St, Room C250 SAN FRANCISCO |
| State: | CA |
| Postal Code: | 941153010 |
| Phone Number: | 4158857464 |
| Fax Number: | 4158857876 |
| NPI Enumeration Date: | 03/10/2012 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | A125532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |