Organization
SUN HEALING ARTS GROUP CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY SUN (M.D.)
(626) 308-0660
Entity
Organization
Contact information
Practice address
288 S. SAN GABRIEL BLVD., SUITE 206, SAN GABRIEL, CA 91776-1668
(626) 308-0660
Mailing address
288 S. SAN GABRIEL BLVD., SUITE 206, SAN GABRIEL, CA 91776-1668
(626) 308-0660
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A31180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A31180
STATE LICENSE
CA
Enumeration date
05/16/2013
Last updated
05/16/2013
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