Organization · NPI-2

Sung M.D., A Professional Corporation

Dermatology · Monterey Park, CA

NPI number1972244176
StatusActive
Last updated in NPPESJul 12, 2023

Details

NPI
1972244176
Entity type
Organization (NPI-2)
Legal business name
Sung M.D., A Professional Corporation
Organization subpart
No
Enumeration date
Apr 5, 2022
Certification date
Jul 12, 2023
Last updated
Jul 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Practice location

616 N Garfield Ave Ste 203
Monterey Park, CA 91754-1153

Phone 626-635-1688 · Fax 712-218-3602

Mailing address

616 N Garfield Ave Ste 203
Monterey Park, CA 91754-1153

Phone 626-635-1688 · Fax 712-218-3602

Other practice locations

180 Newport Center Dr Ste 225
Newport Beach, CA 92660-0904

Phone 714-712-0438 · Fax 712-218-3602

515 E Commonwealth Ave
Fullerton, CA 92832-2020

Phone 909-348-2354 · Fax 712-218-3602

Authorized official

Calvin Sung
President/Ceo
9093482354

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