Individual
JIMMY JYH-MING SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 MAGNOLIA AVE, CORONA, CA 92879-3128
(951) 493-6920
(951) 738-8813
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3912
(951) 493-6920
(951) 738-8813
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A72737
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ31887Z
SITE PTAN
CA
Enumeration date
12/30/2005
Last updated
02/22/2011
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