SUNRISE SHOES AND PEDORTHIC SRVC CORP NPI 1366688707

NPI Information

SUNRISE SHOES AND PEDORTHIC SRVC CORP is a specialist in Fair Oaks, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUNRISE SHOES AND PEDORTHIC SRVC CORP NPI is 1366688707. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5333 SUNRISE BLVD
FAIR OAKS, CA
ZIP 95628-539
Phone: (916) 368-7700
Fax: (916) 368-7717

The provider's authorized official is Peter S Wong .
The authorized official title is Ceo and has the following contact phone number (916) 368-7700.

The enumeration date for this NPI number is 1/6/2009 and was last updated on 1/6/2009.

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:

Other Identifiers

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