Provider Demographics
NPI:1043612765
Name:HUANG, SUNNY TSUNJAN (IBCLC, LCCE, CD, PCD)
Entity Type:Individual
Prefix:MS
First Name:SUNNY
Middle Name:TSUNJAN
Last Name:HUANG
Suffix:
Gender:F
Credentials:IBCLC, LCCE, CD, PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 802
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75132-0802
Mailing Address - Country:US
Mailing Address - Phone:714-584-9449
Mailing Address - Fax:
Practice Address - Street 1:1243 EMILIA RD
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75087-1136
Practice Address - Country:US
Practice Address - Phone:714-584-9449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14361174H00000X
NY204027174N00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula