person
Sun Captain, PA-C
Medical Physician Assistant in Berkeley, California
NPI 1265791891

Sun Captain is a Medical Physician Assistant based in San Francisco, CA and is specialized in Medical. Sun Captain practices in Berkeley, CA and has the professional credentials of PA-C. The NPI Number for Sun Captain is 1265791891 and holds a License No. PA17206 (California).

The current practice location address for Sun Captain is 3031 Telegraph Ave Ste 217, Berkeley, CA and can be reached out via phone at 510-981-8222 and via fax at 510-981-8228.

Location: 3031 Telegraph Ave Ste 217, Berkeley, CA, 94102-3263
person
Provider Profile Details
NPI Number
1265791891
Provider Name
Sun Captain
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3031 Telegraph Ave Ste 217, Berkeley, CA, 94102-3263
Phone Number
510-981-8222
Fax Number
510-981-8228
Provider Enumeration Date
05/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA 17206 01 CA PA LICENSE
institution
Provider Business Practice Location Address Details
Address
3031 Telegraph Ave Ste 217
City
State
Zip
94705-2053
Phone Number
510-981-8222
Fax Number
510-981-8228
person
Provider Business Mailing Address Details
Address
3031 Telegraph Ave Ste 217
City
State
Zip
94705-2053
Phone Number
510-981-8222
Fax Number
510-981-8228
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA17206 (California)
Definition
Definition to come...
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