Provider Demographics
NPI:1730506254
Name:KHIL, SUN (ACUPUNCTURIST)
Entity type:Individual
Prefix:MR
First Name:SUN
Middle Name:
Last Name:KHIL
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7583 SOARING BIRD CT
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3617
Mailing Address - Country:US
Mailing Address - Phone:714-325-1859
Mailing Address - Fax:
Practice Address - Street 1:1700 HAMNER AVE STE 209
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2963
Practice Address - Country:US
Practice Address - Phone:714-325-1859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11642171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist