Individual provider · Type 1 NPI
Sun Captain, PA-C
Medical Physician Assistant · Berkeley, CA
NPI number
1265791891
Active
Practice location
3031 Telegraph Ave Ste 217
Berkeley, CA 94705-2053
Fax (510) 981-8228
Mailing address
601 Van Ness Ave Apt 52
San Francisco, CA 94102-3263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA17206 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1265791891
Sun Captain, PA-C's National Provider Identifier is 1265791891, issued on May 16, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Berkeley, CA. The record was last updated on Mar 7, 2023.