Provider Demographics
NPI:1295781060
Name:HYUN, SUNG (MD)
Entity type:Individual
Prefix:DR
First Name:SUNG
Middle Name:
Last Name:HYUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:HYUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:25775 MCBEAN PARKWAY
Mailing Address - Street 2:212
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355
Mailing Address - Country:US
Mailing Address - Phone:661-505-7651
Mailing Address - Fax:661-505-7668
Practice Address - Street 1:25775 MCBEAN PKWY STE 212
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3703
Practice Address - Country:US
Practice Address - Phone:661-505-7651
Practice Address - Fax:661-505-7668
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85985207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G859850Medicaid
CAP00630168Medicare PIN
CA00G859851Medicare PIN
CA00G859850Medicaid
CACA113886Medicare PIN