Basic Information
Provider Information
NPI: 1578063673
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUN
FirstName: APRIL
MiddleName: SUZANNE
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 161 N HERMOSA AVE
Address2:  
City: SIERRA MADRE
State: CA
PostalCode: 910241700
CountryCode: US
TelephoneNumber: 9092700194
FaxNumber:  
Practice Location
Address1: WHITE MEMORIAL MEDICAL CENTER 1720 E CESAR CHAVEZ AVE
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 90033
CountryCode: US
TelephoneNumber: 3232685000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/15/2018
LastUpdateDate: 02/15/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X95007667CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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