Song Sun
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1801543780
StatusActive
Last updated in NPPESMar 9, 2022
Details
- NPI
- 1801543780
- Entity type
- Individual (NPI-1)
- Name
- Song Sun
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2022
- Certification date
- Mar 9, 2022
- Last updated
- Mar 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
5115 Spring Mountain Rd Ste 221Las Vegas, NV 89146-8720
Phone 702-861-9975
Mailing address
5115 Spring Mountain Rd Ste 221Las Vegas, NV 89146-8720
Phone 702-861-9975
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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