Provider Demographics
NPI:1124818075
Name:TAE SUNG & BROTHERS
Entity type:Organization
Organization Name:TAE SUNG & BROTHERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-920-3508
Mailing Address - Street 1:714 W OLYMPIC BLVD STE 630
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-1487
Mailing Address - Country:US
Mailing Address - Phone:407-920-3508
Mailing Address - Fax:
Practice Address - Street 1:714 W OLYMPIC BLVD STE 630
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-1487
Practice Address - Country:US
Practice Address - Phone:407-920-3508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies