Sun, Diane Ruolin
Sun, Diane Ruolin is an individual health care provider with primary practice located at 27303 Sleepy Hollow Ave S , Hayward CA 94545-4203. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Sun, Diane Ruolin can be contacted via phone (510) 454-1000.Contact Information
Primary practice address
27303 Sleepy Hollow Ave S
Hayward CA 94545-4203
Phone: (510) 454-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0101247713 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C55116 | California |
Profile Details
| NPI number | 1962527952 |
|---|---|
| LBN Legal business name | Sun, Diane Ruolin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Dec 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962527952 | NPPES |
| Missouri | MEDICAID | 204909105 | |
| Missouri | Other | 206012821 |
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