| Sun Medical LLC | |
|
11240 Waples Mill Rd Ste 201 Fairfax VA 22030-6078 | |
| (703) 223-5496 | |
| (703) 762-9978 |
| Full Name | Sun Medical LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 11240 Waples Mill Rd Ste 201, Fairfax, Virginia |
| Authorized Official Name and Position | Sun Hee Lee (OWNER) |
| Authorized Official Contact | 5715309877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Medical LLC 11240 Waples Mill Rd Ste 201 Fairfax VA 22030-6078 Ph: (571) 407-5859 | Sun Medical LLC 11240 Waples Mill Rd Ste 201 Fairfax VA 22030-6078 Ph: (703) 223-5496 |
| NPI Number | 1255123170 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 08/05/2026 |
| Certification Date | 08/05/2026 |
| Medicare PECOS PAC ID | 6204326085 |
|---|---|
| Medicare Enrollment ID | O20251110001454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255123170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | John K Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053472159 PECOS PAC ID: 2769372085 Enrollment ID: I20040318001265 |
| Provider Name | Rajesh Puri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194939033 PECOS PAC ID: 7810940954 Enrollment ID: I20050301000272 |
| Provider Name | Min Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619826476 PECOS PAC ID: 0547742876 Enrollment ID: I20260305000772 |
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