Organization
SUN C SOUNG,M.D.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUN C SOUNG M.D. (PRESIDENT)
(909) 875-3595
Entity
Organization
Contact information
Practice address
1734 N RIVERSIDE AVE, SUITE 2, RIALTO, CA 92376-8058
(909) 875-3595
(909) 875-1029
Mailing address
1734 N RIVERSIDE AVE, SUITE 2, RIALTO, CA 92376-8058
(909) 875-3595
(909) 875-1029
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A34265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A342650
—
CA
Enumeration date
11/10/2009
Last updated
11/10/2009
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