Provider Demographics
NPI:1093998080
Name:SUN, RICHARD KUO-PIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KUO-PIN
Last Name:SUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 S ST
Mailing Address - Street 2:SUITE 101-157
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-6736
Mailing Address - Country:US
Mailing Address - Phone:916-555-1212
Mailing Address - Fax:
Practice Address - Street 1:1809 S ST
Practice Address - Street 2:SUITE 101-157
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-6736
Practice Address - Country:US
Practice Address - Phone:916-555-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-12
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0727812083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine