Healthcare Provider Details

I. General information

NPI: 1720756539
Provider Name (Legal Business Name): DR. BRANDON SUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2021
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 S 12TH AVE
HANFORD CA
93230-6176
US

IV. Provider business mailing address

250 S 12TH AVE
HANFORD CA
93230-6176
US

V. Phone/Fax

Practice location:
  • Phone: 559-583-6393
  • Fax:
Mailing address:
  • Phone: 559-583-6393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number84869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: