LIZA SHINAE SUNG


Address: 4650 W Sunset Blvd, Los Angeles, CA 90027-6062
Phone: 3236604560

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95005822 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4650 W SUNSET BLVD
City LOS ANGELES
State CA
Zip Code 90027-6062

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LOS ANGELES
Zip Code 90027

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Dataset Information

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.

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