| Yeming Sun M.d. Inc | |
|
113 Waterworks Way Suite 125 Irvine CA 92618-3168 | |
| (949) 552-6788 | |
| (949) 552-7688 |
| Full Name | Yeming Sun M.d. Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 Waterworks Way, Irvine, California |
| Authorized Official Name and Position | Yeming Sun (CEO) |
| Authorized Official Contact | 9495526788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yeming Sun M.d. Inc 113 Waterworks Way Suite 125 Irvine CA 92618-3168 Ph: (949) 552-6788 | Yeming Sun M.d. Inc 113 Waterworks Way Suite 125 Irvine CA 92618-3168 Ph: (949) 552-6788 |
| NPI Number | 1457627580 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 03/22/2012 |
| Medicare PECOS PAC ID | 1658528666 |
|---|---|
| Medicare Enrollment ID | O20120827000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457627580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A69676 (California) | Primary |
| Provider Name | Yeming Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811977069 PECOS PAC ID: 1951362342 Enrollment ID: I20041019001362 |
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