Healthcare Provider Details

I. General information

NPI: 1356600274
Provider Name (Legal Business Name): VICTORIA SUN-HUIE M.S.RPH. BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2012
Last Update Date: 05/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S BASCOM AVE
SAN JOSE CA
95128-2604
US

IV. Provider business mailing address

7614 KIRWIN LN
CUPERTINO CA
95014-4357
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-2360
  • Fax:
Mailing address:
  • Phone: 408-252-6569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number43010
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: