Individual
JENNIFER SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 WEBSTER ST, STE 214, SAN FRANCISCO, CA 94115-2373
(415) 923-3007
Mailing address
2100 WEBSTER ST, STE 214, SAN FRANCISCO, CA 94115-2373
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G88754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981501500
—
MD
01
—
ER874Z
MEDICARE PTAN
—
Enumeration date
07/05/2006
Last updated
01/24/2013
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