Individual
JUSTIN SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPT
Contact information
Practice address
7700 ORANGETHORPE AVE STE 6, BUENA PARK, CA 90621-3476
(714) 766-5767
Mailing address
7700 ORANGETHORPE AVE STE 6, BUENA PARK, CA 90621-3476
(714) 766-5767
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
215012
CA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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