Organization
CHILDREN'S NEUROSURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER P. SUN M.D. (PRESIDENT)
(510) 428-3319
Entity
Organization
Contact information
Practice address
747 52ND STREET, SUITE 5203, OAKLAND, CA 94609
(510) 428-3319
Mailing address
747 52ND STREET, SUITE 5203, OAKLAND, CA 94609
(510) 428-3319
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G76016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G76016
CA MEDICAL LICENSE
CA
Enumeration date
09/05/2006
Last updated
08/22/2020
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