Healthcare Provider Details

I. General information

NPI: 1235131061
Provider Name (Legal Business Name): KARL TSCHA-NING SUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 04/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8851 CENTER DR STE 401
LA MESA CA
91942-3017
US

IV. Provider business mailing address

8851 CENTER DR STE 401
LA MESA CA
91942-3017
US

V. Phone/Fax

Practice location:
  • Phone: 619-668-1550
  • Fax: 619-668-1554
Mailing address:
  • Phone: 760-598-8058
  • Fax: 760-598-8078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA68612
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberA68612
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: