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NPI Code Detail

MEDICARE: KEVIN SUN

MEDICARE: KEVIN 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
1225X00000XOccupational Therapist19082CA

General Provider Information

NPI Number : 1790611408
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN SUN
Provider Business Mailing Address
First Line : 1901 S AZUSA AVE APT 336
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-6863
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2801 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1701
Country : US
Telephone Number : 562-933-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2026
Last Update Date : 06/20/2026

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Directions to “ KEVIN SUN ” Practice Location

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