Individual
MR. JEN SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8550 W CHARLESTON BLVD, #102-136, LAS VEGAS, NV 89117-9210
(206) 948-2468
(206) 260-8833
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01057989A
IN
207L00000X
Anesthesiology Physician
11634
MT
207L00000X
Anesthesiology Physician
12689
NV
207L00000X
Anesthesiology Physician
23292
WV
207L00000X
Anesthesiology Physician
234612
MA
207L00000X
Anesthesiology Physician
247361
NY
207L00000X
Anesthesiology Physician
31265
AZ
207L00000X
Anesthesiology Physician
36.120088
IL
207L00000X
Anesthesiology Physician
4301091370
MI
207L00000X
Anesthesiology Physician
46152020
WI
207L00000X
Anesthesiology Physician
60621
GA
207L00000X
Anesthesiology Physician
Primary
A82642
CA
207L00000X
Anesthesiology Physician
MD00041400
WA
207L00000X
Anesthesiology Physician
MD28246
OR
207L00000X
Anesthesiology Physician
MD420604
PA
Other
Enumeration date
04/13/2007
Last updated
08/11/2011
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