Healthcare Provider Details

I. General information

NPI: 1477940161
Provider Name (Legal Business Name): JIN SUN L BITAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JIN SUN LEE M.D.

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S SAN VICENTE BLVD FL 7
LOS ANGELES CA
90048-3311
US

IV. Provider business mailing address

8700 BEVERLY BLVD
LOS ANGELES CA
90048
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-8530
  • Fax: 310-423-4759
Mailing address:
  • Phone: 310-423-6518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA150397
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA150397
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA150397
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: