Provider Demographics
NPI:1952704140
Name:ADAM SUN NEPHROLOGY MEDICAL GROUP INC
Entity Type:Organization
Organization Name:ADAM SUN NEPHROLOGY MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:626-572-0660
Mailing Address - Street 1:500 N GARFIELD AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1242
Mailing Address - Country:US
Mailing Address - Phone:626-572-0660
Mailing Address - Fax:626-572-0860
Practice Address - Street 1:500 N GARFIELD AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1242
Practice Address - Country:US
Practice Address - Phone:626-572-0660
Practice Address - Fax:626-572-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty