Justin Jay Shun | Glendale, AZ • PECOS Search

Justin Jay Shun

Student in an Organized Health Care Education/Training Program

Student, Health Care

18701 N 67th Ave, Glendale, AZ 85308-7100

(925) 336-1128 (925) 361-1128

PECOS Enrollment

Based on the most recent information from CMS, provider Justin Jay Shun does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1629772819
Provider Type
Individual
Full Name
Shun, Justin Jay
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/30/2023
Last Updated
3/30/2023

Contact Information

Practice Location

18701 N 67th Ave, Glendale, AZ 85308-7100

Unlisted Fax

Mailing Location

116 Menton Ct, Danville, CA 94506-2079

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer