Individual
JI SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD/PH.D.
Contact information
Practice address
9452 MEDICAL CENTER DR RM 1E314, LA JOLLA, CA 92093-0897
(858) 822-2805
Mailing address
9452 MEDICAL CENTER DR RM 1E314, LA JOLLA, CA 92093-0897
(858) 822-2805
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
RPH60582
CA
1835X0200X
Oncology Pharmacist
Primary
RPH60582
CA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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