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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1962527952 NPPES
Missouri MEDICAID 204909105
Missouri Other 206012821

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