Individual
XINGBO SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3031 W MARCH LN, STOCKTON, CA 95219-6500
(209) 472-0800
Mailing address
6363 CHRISTIE AVE APT 2214, EMERYVILLE, CA 94608-1946
(626) 434-9194
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5258
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2013
Last updated
06/20/2016
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