BO SUN (NPI# 1881121416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881121416 |
| Entity Type | Individual |
| Full Name | BO SUN |
| Practice Address |
207 S Santa Anita St Ste 330 San Gabriel CA 91776-1154 |
| Mailing Address |
316 E Las Tunas Dr San Gabriel CA 91776-1535 |
| Practice Telephone | 6264581888 |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004617 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 316 E Las Tunas Dr Ste 103, San Gabriel, CA 917761535 | 6262879949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841577 | Bo Sun | Massage Therapist | 1115 Broadway Fl 12, New York, NY 10010-3452 | 2018-08-20 |
| 1366946121 | Bo Sun | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2018-03-19 |
| 1790143238 | Bo Sun | Pharmacist | 11633 Shadow Creek Pkwy, Pearland, TX 77584-7262 | 2016-01-28 |
| Street Address |
207 S SANTA ANITA ST STE 330 |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91776-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395563 | Victor Alejandro Campos | Behavioral Analyst | 222 E. Las Tunas Drive, San Gabriel, CA 91776 | 2019-03-17 |
| 1700340445 | Chaoshan Medical Center | Acupuncturist | 206 E. Las Tunas Drive, Suite 1, San Gabriel, CA 91776 | 2019-01-28 |
| 1730671694 | Anh Thoai Quach | Acupuncturist | 801 E Valley Blvd Ste 102, San Gabriel, CA 91776 | 2018-06-05 |
| 1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
| 1952828220 | Helena Lau | Pharmacist | 1512 Prospect Avenue, Apartment D, San Gabriel, CA 91776 | 2017-08-27 |
| 1154844876 | An An Tong Corporation | Acupuncturist | 150 S San Gabriel Blvd., San Gabriel, CA 91776 | 2017-07-25 |
| 1689074734 | Son Nguyen Dds | Dentist | 730 East Valley Blvd, San Gabriel, CA 91776 | 2014-08-26 |
| 1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
| 1396163614 | Wu Dental Inc. | Dentist | 410 S. San Gabriel Blvd #11, San Gabriel, CA 91776 | 2014-04-03 |
| 1114266574 | Jeremy Chen | Acupuncturist | 5200 N. Rosemead Blvd, San Gabriel, CA 91776 | 2013-02-05 |
| Find all providers in zip 91776 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627811 | Stephanie Carpentier | Nurse Practitioner | 625 E Valley Blvd # H&i, San Gabriel, CA 91776-3591 | 2020-04-02 |
| 1245875780 | Helen Wang | Nurse Practitioner | 230 E Valley Blvd Ste 200, San Gabriel, CA 91776-6507 | 2019-11-07 |
| 1437634045 | Anne Luu | Nurse Practitioner | 1418 S San Gabriel Blvd Ste C, San Gabriel, CA 91776-4605 | 2018-09-28 |
| 1134590920 | Ngocthe T Nguyen | Nurse Practitioner | 228 Segovia Ave, San Gabriel, CA 91775-2946 | 2015-10-19 |
| 1235768920 | Tracy Tran | Nurse Practitioner | 625 E Valley Blvd, San Gabriel, CA 91776-3591 | 2020-04-03 |
| 1598303885 | Sandra Cotto | Nurse Practitioner | 438 W Las Tunas Dr, San Gabriel, CA 91776-1216 | 2019-12-17 |
| 1356904999 | Yicheng Huang | Nurse Practitioner | 1448 S San Gabriel Blvd, San Gabriel, CA 91776-3656 | 2019-04-18 |
| 1255755336 | Alba Flores | Nurse Practitioner | 416 W Las Tunas Dr, San Gabriel, CA 91776-1236 | 2014-02-11 |
| 1376899450 | Bridget Marrin | Nurse Practitioner | 1448 S San Gabriel Blvd, San Gabriel, CA 91776-3656 | 2012-07-26 |
| 1003173410 | Shirley Wan Yu Chiang | Nurse Practitioner | 506 W Valley Blvd, San Gabriel, CA 91776-3731 | 2012-04-23 |
| Find all providers in SAN GABRIEL | ||||
| City | SAN GABRIEL |
| Zip Code | 91776 |
Please comment or provide details below to improve the information on BO SUN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.