Provider Demographics
NPI:1598902686
Name:SUN, HELEN (MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:SUN
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 KINGSFORD ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-2658
Mailing Address - Country:US
Mailing Address - Phone:626-607-1696
Mailing Address - Fax:
Practice Address - Street 1:3318 DEL MAR AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2373
Practice Address - Country:US
Practice Address - Phone:626-607-1696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP18574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily