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Jacqueline Sun, DO

Pediatrics in Yorba Linda, CA. Individual provider (NPI-1).

NPI number1710540802
StatusActive
Last updated in NPPESAug 17, 2022

Details

NPI
1710540802
Entity type
Individual (NPI-1)
Name
Jacqueline Sun
Credential
DO
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 15, 2019
Certification date
Aug 17, 2022
Last updated
Aug 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics19881CAYes

Practice location

4300 Rose Dr
Yorba Linda, CA 92886-2026

Phone 714-577-6677

Mailing address

4300 Rose Dr
Yorba Linda, CA 92886-2026

Phone 714-577-6677

Other practice locations

1000 Montauk Hwy
West Islip, NY 11795-4927

Phone 631-376-4163 · Fax 631-376-3420

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