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NPI Code Detail

MEDICARE: H.M. SUNG M.D. INC.

MEDICARE: H.M. SUNG M.D. INC.
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
1305R00000XPreferred Provider OrganizationA31399CA

General Provider Information

NPI Number : 1922062074
Entity Type Code : Organization
Provider Name (Legal Business Name) : H.M. SUNG M.D. INC.
Provider Business Mailing Address
First Line : 2621 S BRISTOL ST
Second Line : SUITE 109
City : SANTA ANA
State : CA
Zip : 92704-5766
Country : US
Telephone Number : 714-754-0310
Fax Number :
Provider Business Practice Location Address
First Line : 2621 S BRISTOL ST
Second Line : SUITE 109
City : SANTA ANA
State : CA
Zip : 92704-5766
Country : US
Telephone Number : 714-754-0310
Fax Number :
Authorized Official
Title or Position : BUSINESS MANAGER
Name : ALAN SUNG
Credential :
Telephone Number : 714-754-0310
Provider Enumeration Date : 04/14/2006
Last Update Date : 11/23/2010

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