Individual provider · Type 1 NPI
Eunjae Sung, CRNP
Primary Care Nurse Practitioner · Gardena, CA
NPI number
1235594185
Active
Practice location
1740 W Gardena Blvd
Gardena, CA 90247-4764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist Physician | 208M00000X | 0024174203 (VA) |
| Adult Health Nurse Practitioner | 363LA2200X | R218810 (MD) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95010489 (CA) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other primary care nurse practitioner providers in Gardena
About NPI 1235594185
Eunjae Sung, CRNP's National Provider Identifier is 1235594185, issued on Dec 18, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Gardena, CA. The record was last updated on Sep 17, 2024.