Individual
JEFF D SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 SANTA MONICA BLVD STE 245E, SANTA MONICA, CA 90404-2132
(310) 829-8975
(424) 291-4108
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A75061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A750610
—
CA
Enumeration date
05/15/2006
Last updated
01/25/2024
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