Provider Demographics
NPI:1700649316
Name:ALLEN SUNG, DO PLLC
Entity Type:Organization
Organization Name:ALLEN SUNG, DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-614-9990
Mailing Address - Street 1:1452 W HORIZON RIDGE PKWY # 506
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-4422
Mailing Address - Country:US
Mailing Address - Phone:909-614-9990
Mailing Address - Fax:
Practice Address - Street 1:1452 W HORIZON RIDGE PKWY # 506
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-4422
Practice Address - Country:US
Practice Address - Phone:909-614-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty