Healthcare Provider Details

I. General information

NPI: 1093983371
Provider Name (Legal Business Name): CHRISTINE H SUN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 S HOWARD ST
CORONA CA
92879-2254
US

IV. Provider business mailing address

613 S HOWARD ST
CORONA CA
92879-2254
US

V. Phone/Fax

Practice location:
  • Phone: 818-895-3100
  • Fax:
Mailing address:
  • Phone: 818-895-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA98971
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: