Provider Demographics
NPI:1578265450
Name:SUN, WENDY YUWENG (MD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:YUWENG
Last Name:SUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 WESTWOOD PLAZA, PEDIATRICS
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-7419
Mailing Address - Country:US
Mailing Address - Phone:310-267-9124
Mailing Address - Fax:310-267-3842
Practice Address - Street 1:757 WESTWOOD PLAZA
Practice Address - Street 2:ROOM 3108
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1752
Practice Address - Country:US
Practice Address - Phone:310-267-9124
Practice Address - Fax:310-267-3842
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program