=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689580268
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HSIANG-YUAN SUNG CRNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2026
-----------------------------------------------------
Last Update Date | 08/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4150 V ST STE 1200
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95817-1460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-734-5028
-----------------------------------------------------
Fax | 916-734-7980
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14731 LOZANO DR
-----------------------------------------------------
City | BALDWIN PARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91706-4350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-619-5070
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 95002914
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------