Provider Demographics
NPI:1033424866
Name:YUN, CHRISTINE SUNGAH (RN, PNP, CPON)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:SUNGAH
Last Name:YUN
Suffix:
Gender:F
Credentials:RN, PNP, CPON
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:SUNGAH
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2653 ELM AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1654
Mailing Address - Country:US
Mailing Address - Phone:562-728-5026
Mailing Address - Fax:
Practice Address - Street 1:2653 ELM AVE STE 100
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1654
Practice Address - Country:US
Practice Address - Phone:562-728-5026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA603665163W00000X
CA16686363LP0200X
CA2549364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics