NPI | 1912111543 |
---|---|
Doing Business As | SUNRISE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | SAMUEL KWOK-KUEN CHUNG President 909-988-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6725) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A37294) |
208D00000X General Practice (Licence: CA A33894) | |
363A00000X Physician Assistant (Licence: CA PA 16663) | |
363A00000X Physician Assistant (Licence: CA PA 14845) | |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: RN 548298) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |