LIZA SHINAE SUNG (NPI# 1689220063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689220063 |
Entity Type | Individual |
Full Name | LIZA SHINAE SUNG |
Credential | AC-PNP |
Practice Address |
4650 W Sunset Blvd Los Angeles CA 90027-6062 |
Mailing Address |
3040 Montrose Ave Apt 6 La Crescenta CA 91214-4318 |
Practice Telephone | 3236604560 |
Mailing Telephone | 8183314396 |
Enumeration Date | 2019-08-12 |
Last Update Date | 2019-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95005822 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4650 W SUNSET BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90027-6062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
1811596810 | Samih Samaha | Social Worker | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-21 |
1437756988 | Amanda Ruth Mendelis | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-07 |
1124638119 | Hayden Mensah Mbroh | Rehabilitation Counselor | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-04 |
1619587854 | Allyssa Marie Asperin Cayago | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-03 |
1134739592 | Alison Coombs | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-07-31 |
1679190482 | Jearelly Pinedo | Registered Nurse | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-26 |
1124644901 | Corey Hacker | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-17 |
1720602667 | Bhavna Shah | Physical Therapist | 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 | 2020-06-06 |
1023632528 | Bethany L Burdick | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
Find all providers in zip 90027 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083260087 | Liezl Ann Bobila Bautista | Nurse Practitioner | 3317 Bagley Ave Apt 6, Los Angeles, CA 90034-2866 | 2019-08-15 |
1780155085 | Amy Parker | Nurse Practitioner | 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 | 2018-12-12 |
1285100172 | Kellie Ann Loera | Nurse Practitioner | 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 | 2018-10-17 |
1629553649 | Jamie Duly | Nurse Practitioner | 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 | 2018-09-25 |
1942788047 | Annie Lee Thomson | Nurse Practitioner | 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 | 2018-07-31 |
1205347739 | Carrie Locken Collins | Nurse Practitioner | 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 | 2017-10-24 |
1053821553 | Kimberly Brooke Adams | Nurse Practitioner | 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 | 2017-10-10 |
1013360213 | Kelly Barth | Nurse Practitioner | 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 | 2016-07-22 |
1003261272 | Laura Elvira Espinosa | Nurse Practitioner | 2831 Vaquero Ave, Los Angeles, CA 90032-3008 | 2016-04-25 |
1689059016 | Sandra Moon | Nurse Practitioner | 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230 | 2015-07-27 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90027 |
Please comment or provide details below to improve the information on LIZA SHINAE SUNG.
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.