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NPI Code Detail

MEDICARE: DR. CORAL SUN M.D.

MEDICARE: DR. CORAL SUN M.D.
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
1207L00000XAnesthesiology PhysicianA111838CA

General Provider Information

NPI Number : 1487890273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CORAL SUN M.D.
Provider Business Mailing Address
First Line : 1 DEACONESS RD # CC-470
Second Line :
City : BOSTON
State : MA
Zip : 02215-5321
Country : US
Telephone Number : 617-754-2733
Fax Number :
Provider Business Practice Location Address
First Line : 333 CITY BLVD W STE 2150
Second Line :
City : ORANGE
State : CA
Zip : 92868-5920
Country : US
Telephone Number : 714-456-5501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2008
Last Update Date : 01/18/2019

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