Provider Demographics
NPI:1588910152
Name:SUN EUN ENTERPRISE, INC.
Entity type:Organization
Organization Name:SUN EUN ENTERPRISE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-694-8999
Mailing Address - Street 1:215 N STATE COLLEGE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-2935
Mailing Address - Country:US
Mailing Address - Phone:714-694-8999
Mailing Address - Fax:714-694-8994
Practice Address - Street 1:215 N STATE COLLEGE BLVD STE D
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-2935
Practice Address - Country:US
Practice Address - Phone:714-694-8999
Practice Address - Fax:714-694-8994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based