Individual
AVA SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 W 3RD ST STE 200, LOS ANGELES, CA 90057-1993
(213) 413-8742
(213) 413-6482
Mailing address
4650 W SUNSET BLVD # 76, LOS ANGELES, CA 90027-6062
(323) 669-2113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A165916
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
01/08/2024
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