| Jennifer Sun, Md Inc. | |
|
689 W Foothill Blvd Suite B Claremont CA 91711-3400 | |
| (909) 482-2058 | |
| (909) 482-2092 |
| Full Name | Jennifer Sun, Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 689 W Foothill Blvd, Claremont, California |
| Authorized Official Name and Position | Jennifer Chia June Sun (PRESIDENT/CEO) |
| Authorized Official Contact | 9093923230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Sun, Md Inc. 689 W Foothill Blvd Suite B Claremont CA 91711-3400 Ph: (909) 482-2058 | Jennifer Sun, Md Inc. 689 W Foothill Blvd Suite B Claremont CA 91711-3400 Ph: (909) 482-2058 |
| NPI Number | 1225087836 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 4880606664 |
|---|---|
| Medicare Enrollment ID | O20060616000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225087836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A85118 (California) | Primary |
| Provider Name | Jennifer C Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558352583 PECOS PAC ID: 0143292326 Enrollment ID: I20040809000754 |
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