A SUN MEDICAL CLINIC CO NPI 1447477898

NPI Information

NPI: 1447477898
Provider Name: A SUN MEDICAL CLINIC CO
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
288 S SAN GABRIEL BLVD
SUITE 206
SAN GABRIEL, CA
ZIP 91776
Phone: (626) 308-0660
Get Directions

A SUN MEDICAL CLINIC CO is a family medicine in San Gabriel, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. A SUN MEDICAL CLINIC CO NPI is 1447477898. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

288 S SAN GABRIEL BLVD
SUITE 206
SAN GABRIEL, CA
ZIP 91776-668
Phone: (626) 308-0660

The provider's authorized official is Andrew S. Sun .
The authorized official title is Provider/owner and has the following contact phone number (626) 308-0660.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/1/2011.

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	License Number	License State	Primary
1	208000000X	Pediatrics		G13537	CALIFORNIA	No
2	207Q00000X	Family Medicine		G13537	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G13537	OTHER	CALIFORNIA	STATE LICENSE
2	00G135370	MEDICAID	CALIFORNIA
3	G13537B	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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