MEDICARE: CHAO SUN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Q00000X	Pathology Specialist/Technologist

General Provider Information

NPI Number	:	1295680239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAO SUN

Provider Business Mailing Address
First Line	:	918 S OXFORD AVE UNIT 418
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-6361
Country	:	US
Telephone Number	:	614-680-8907
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6062
Country	:	US
Telephone Number	:	323-660-2450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ CHAO SUN ” Practice Location

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