Provider Demographics
NPI:1487058947
Name:SUN, YALE H
Entity type:Individual
Prefix:
First Name:YALE
Middle Name:H
Last Name:SUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 E ARQUES AVE STE 202
Mailing Address - Street 2:NONE
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-5422
Mailing Address - Country:US
Mailing Address - Phone:408-524-0676
Mailing Address - Fax:
Practice Address - Street 1:1210 E ARQUES AVE STE 202
Practice Address - Street 2:NONE
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-5422
Practice Address - Country:US
Practice Address - Phone:408-524-0676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist