Provider Demographics
NPI:1740444264
Name:SUN, PETER MORHAN (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:MORHAN
Last Name:SUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2207 GARNET AVE STE F
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-3713
Mailing Address - Country:US
Mailing Address - Phone:858-736-9205
Mailing Address - Fax:858-952-1011
Practice Address - Street 1:2207 GARNET AVE STE F
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-3713
Practice Address - Country:US
Practice Address - Phone:858-736-9205
Practice Address - Fax:858-952-1011
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86805208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice