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NPI Code Detail

MEDICARE: SUN GYU LEE MSN, RN

MEDICARE: SUN GYU LEE MSN, RN
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
1163WP0808XPsychiatric/Mental Health Registered Nurse95202924CA

General Provider Information

NPI Number : 1578416699
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUN GYU LEE MSN, RN
Provider Business Mailing Address
First Line : 14228 SARANAC LN
Second Line :
City : SYLMAR
State : CA
Zip : 91342-1435
Country : US
Telephone Number : 747-315-6100
Fax Number :
Provider Business Practice Location Address
First Line : 14228 SARANAC LN
Second Line :
City : SYLMAR
State : CA
Zip : 91342-1435
Country : US
Telephone Number : 747-315-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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