Provider Demographics
NPI:1669126611
Name:HAKALA, SUNNY N (RN)
Entity type:Individual
Prefix:
First Name:SUNNY
Middle Name:N
Last Name:HAKALA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LOAN THI YEN NGUYEN
Mailing Address - Street 1:31 DEARBORN PL APT 29
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-3534
Mailing Address - Country:US
Mailing Address - Phone:805-350-3028
Mailing Address - Fax:
Practice Address - Street 1:31 DEARBORN PL APT 29
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-3534
Practice Address - Country:US
Practice Address - Phone:805-350-3028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95271124163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse