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Individual

SUNG HYUN PAEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 GEORGE BUSH HWY STE 250, RICHARDSON, TX 75082-3552
(214) 343-6663
(214) 343-2814
Mailing address
3001 GEORGE BUSH HWY STE 250, RICHARDSON, TX 75082-3552
(214) 343-6663
(214) 343-2814

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A101637
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
S2449
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC70593F
CA
01
W1508
CHC-COASTAL MEDICAL CENTER -MEDICARE GROUP NUMBER
CA
01
ZZZ52117Z
BLUE SHIELD #
CA
Enumeration date
08/05/2007
Last updated
02/20/2020
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