Individual
SUSAN SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2603 VIA CAMPO, MONTEBELLO, CA 90640-1807
(323) 720-1144
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
95003393
CA
363LF0000X
Family Nurse Practitioner
95003393
CA
Other
Enumeration date
01/18/2016
Last updated
01/12/2026
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