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Individual

DR. ELLEN SUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3301 C ST, SUITE #200-E, SACRAMENTO, CA 95816-3300
(916) 447-6267
(916) 447-0621
Mailing address
3301 C ST, SUITE #200-E, SACRAMENTO, CA 95816-3300
(916) 447-6267
(916) 447-0621

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G54434
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G544340
CA
01
AN867S
PALMETTO GBA GROUP PTAN
CA
01
AN867T
PALMETTO GBA GROUP PTAN
CA
01
AN867U
PALMETTO GBA GROUP PTAN
CA
01
AN867V
PALMETTO GBA GROUP PTAN
CA
01
AN867W
PALMETTO GBA GROUP PTAN
CA
01
AN867X
PALMETTO GBA GROUP PTAN
CA
01
AN867Y
PALMETTO GBA GROUP PTAN
CA
01
AN876Z
PALMETTO GBA GROUP PTAN
CA
Enumeration date
07/25/2006
Last updated
12/01/2008
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