Lee, Travis Sunlum

Lee, Travis Sunlum is an individual health care provider with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Lee, Travis Sunlum can be contacted via phone (510) 727-3256.

Contact Information

Primary practice address
20103 Lake Chabot Rd Castro Valley CA 94546
Fax: (510) 727-3107
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A15912 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20A15912 California

Profile Details

NPI number 1386098309
LBN Legal business name Lee, Travis Sunlum
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2016
Last updated Feb 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386098309 NPPES
California Other 20A15912 STATE MEDICAL LICENSE

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