Individual
LENA Y SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 498-2086
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 498-2086
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E5639
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5639
CA
Other
Enumeration date
05/04/2017
Last updated
07/16/2020
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