Doctor Name: | MS. I IN SUNG |
NPI Number: | 1891919221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD FASBP |
License Number: | A37990 |
Business Practice Address: | 1205 N Euclid St Anaheim, CA - 92801 |
Business Phone Number: | 7145207895 |
Business Fax Number: | 7145207895 |
Mailing Address: | 1205 N Euclid St, ANAHEIM |
State: | CA |
Postal Code: | 92801 |
Phone Number: | 7145207895 |
Fax Number: | 7145207895 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A37990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |