Individual
DR. DIANE RUOLIN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27303 SLEEPY HOLLOW AVE S, HAYWARD, CA 94545-4203
(510) 454-1000
Mailing address
27303 SLEEPY HOLLOW AVE S, HAYWARD, CA 94545-4203
(510) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C55116
CA
390200000X
Student in an Organized Health Care Education/Training Program
0101247713
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204909105
—
MO
01
—
206012821
REGRISTRATION
MO
Enumeration date
03/20/2007
Last updated
12/15/2021
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