Provider Demographics
NPI:1861777633
Name:SUNG, HUBERT VANCE (MD)
Entity type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:VANCE
Last Name:SUNG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21311 MADRONA AVE
Mailing Address - Street 2:SUITE 100-A
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5970
Mailing Address - Country:US
Mailing Address - Phone:310-792-4400
Mailing Address - Fax:310-542-5805
Practice Address - Street 1:21311 MADRONA AVE
Practice Address - Street 2:SUITE 100-A
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5970
Practice Address - Country:US
Practice Address - Phone:310-792-4400
Practice Address - Fax:310-542-5805
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2021-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA129055207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine