Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUNYOUNG PARK, LAC.

Active Sole Proprietor

Physician Assistant · RANCHO CUCAMONGA, CA

Registration Details

NPI Number: 1114080801
Provider Type: Individual
Gender: Female
NPI Issued: Dec 18, 2006 (19.342023391928 yrs)
Last Updated: Jan 11, 2021
License: 11452 (CA)
Sole Proprietor: Yes

Practice Information

Address: 10801 FOOTHILL BLVD. # 104

RANCHO CUCAMONGA, CA, 91730
Browse CA providers · Browse ZIP 91730
Phone: 9099894435
Fax: 9099894461
Primary Specialty: Physician Assistant
363A00000X
Additional Specialty: Physician Assistant

Other Physician Assistant Providers in RANCHO CUCAMONGA, CA

Name	Credential	NPI
MR. DAVID J KIRSHBAUM	PA-C	1801855861
MRS. NADINE COSICO	PA-C	1992811749
MS. BARBARA ADELE SANTA CRUZ	P.A-C	1881775088
TRICIA ANN BORCHERS	PHYSICIAN ASSISTANT	1407908841
EDWARD GEORGE VELAZQUEZ	P.A.	1881810141
ANGELA JO COCHRAN	PA	1316155310

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.