Provider Demographics
NPI:1609248541
Name:SUN, YUNZE
Entity Type:Individual
Prefix:
First Name:YUNZE
Middle Name:
Last Name:SUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5944 GOLDEN WEST AVE
Mailing Address - Street 2:APT D
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2225
Mailing Address - Country:US
Mailing Address - Phone:626-642-6398
Mailing Address - Fax:
Practice Address - Street 1:5944 GOLDEN WEST AVE
Practice Address - Street 2:APT D
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-2225
Practice Address - Country:US
Practice Address - Phone:626-642-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16865171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC16865OtherACUPUNCTURE