Individual
EDWARD CHIH-YU SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
359 N SAN MATEO DR, SUITE 1, SAN MATEO, CA 94401-2560
(650) 685-7100
(650) 685-7109
Mailing address
359 N SAN MATEO DR, SUITE 1, SAN MATEO, CA 94401-2560
(650) 685-7100
(650) 685-7109
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A64612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00170606
MEDICARE RAILROAD PIN
CA
Enumeration date
02/06/2006
Last updated
09/13/2011
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