Individual
LIZA SHINAE SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AC-PNP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-4560
Mailing address
3040 MONTROSE AVE APT 6, LA CRESCENTA, CA 91214-4318
(818) 331-4396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95005822
CA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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