SUN MEDICAL GROUP INC NPI 1114588704

NPI Information

NPI: 1114588704
Provider Name: SUN MEDICAL GROUP, INC

Doing Business As: AFC LADERA RANCH

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
27522 ANTONIO PKWY STE P3
LADERA RANCH, CA
ZIP 92694
Phone: (714) 337-9393
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SUN MEDICAL GROUP, INC is an urgent care clinic center in Ladera Ranch, CA. SUN MEDICAL GROUP, INC NPI is 1114588704. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Afc Ladera Ranch.

The provider's business location address is:

27522 ANTONIO PKWY STE P3
LADERA RANCH, CA
ZIP 92694-166
Phone: (714) 337-9393

The provider's authorized official is Miranda De Luna .
The authorized official title is Medical Director and has the following contact phone number (316) 214-7764.

The CLIA number assigned to this NPI record is 05D2179963 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2019 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261QU0200X	Clinic/Center	Urgent Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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