Healthcare Provider Details

I. General information

NPI: 1548193774
Provider Name (Legal Business Name): SUN YOUNG OH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18183 PIONEER BLVD
ARTESIA CA
90701-3906
US

IV. Provider business mailing address

18183 PIONEER BLVD
ARTESIA CA
90701-3906
US

V. Phone/Fax

Practice location:
  • Phone: 562-924-3626
  • Fax: 562-924-3738
Mailing address:
  • Phone: 562-924-3626
  • Fax: 562-924-3738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number46436
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: