Healthcare Provider Details

I. General information

NPI: 1427493220
Provider Name (Legal Business Name): HANK HAW SUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 EL VERANO
ORINDA CA
94563
US

IV. Provider business mailing address

16 EL VERANO
ORINDA CA
94563-1912
US

V. Phone/Fax

Practice location:
  • Phone: 720-320-5826
  • Fax:
Mailing address:
  • Phone: 720-320-5826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA155186
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberA155186
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: