Provider Demographics
NPI:1770554727
Name:KAME, ANNA SUN (OD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:SUN
Last Name:KAME
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334B E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-4203
Mailing Address - Country:US
Mailing Address - Phone:714-628-7419
Mailing Address - Fax:
Practice Address - Street 1:334 E 2ND ST # B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-4203
Practice Address - Country:US
Practice Address - Phone:213-628-7419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-29
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11527T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management