Provider Demographics
NPI:1548149057
Name:SUN, YILONG
Entity type:Individual
Prefix:
First Name:YILONG
Middle Name:
Last Name:SUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOSHUA
Other - Middle Name:
Other - Last Name:SUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:600 W SANTA ANA BLVD STE 1140
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4557
Mailing Address - Country:US
Mailing Address - Phone:714-426-9311
Mailing Address - Fax:
Practice Address - Street 1:600 W SANTA ANA BLVD STE 1140
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4557
Practice Address - Country:US
Practice Address - Phone:714-426-9311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program