Won Sull, M.D., Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00C430000 Issued in CA

Legal business name

WON SULL, M.D., INC.

Practice address

1311 11TH St
Reedley, CA 93654-2926

Phone

(559) 643-8250

Fax

(559) 643-8903

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Won Sull, M.D.

Title

Director

Phone

(559) 643-8250

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003821836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542926",
            "telephone_number": "559-643-8250",
            "fax_number": "559-643-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542926",
            "telephone_number": "559-643-8250",
            "fax_number": "559-643-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON SULL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULL",
        "authorized_official_first_name": "WON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-643-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "00C430000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.