Individual provider · NPI-1
Sunny Bang, MD
Physical Medicine & Rehabilitation, Pain Medicine · Loma Linda, CA
NPI number1225692874
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1225692874
- Entity type
- Individual (NPI-1)
- Name
- Sunny Bang
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2019
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | A176390 | CA | Yes |
| 207P00000X | Emergency Medicine | A176390 | CA |
Practice location
11406 Loma Linda Dr Ste 300Loma Linda, CA 92354-3711
Phone 909-558-6277
Mailing address
11234 Anderson StGme Office Westerly Suite C
Loma Linda, CA 92354-2804
Phone 909-558-4085
Other practice locations
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