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LINCOLN HEIGHTS FAMILY & INDUSTRIAL MEDICAL CLINIC NPI 1912111543


NPI Information

NPI: 1912111543
Provider Name: LINCOLN HEIGHTS FAMILY & INDUSTRIAL MEDICAL CLINIC

Doing Business As: SUNRISE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
437 N EUCLID AVE
SUITE A
ONTARIO, CA
ZIP 91762
Phone: (909) 988-2555
Get Directions

LINCOLN HEIGHTS FAMILY & INDUSTRIAL MEDICAL CLINIC is a family medicine in Ontario, 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. LINCOLN HEIGHTS FAMILY & INDUSTRIAL MEDICAL CLINIC NPI is 1912111543. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sunrise Medical Center.

The provider's business location address is:

437 N EUCLID AVE
SUITE A
ONTARIO, CA
ZIP 91762-456
Phone: (909) 988-2555
Fax: (909) 988-4447

The provider's authorized official is Samuel Kwok-kuen Chung .
The authorized official title is President and has the following contact phone number (909) 988-2555.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A6725CALIFORNIAYes
2207VX0000XObstetrics & GynecologyObstetricsA37294CALIFORNIAX
3208D00000XGeneral PracticeA33894CALIFORNIAX
4363A00000XPhysician AssistantPA 16663CALIFORNIAX
5363A00000XPhysician AssistantPA 14845CALIFORNIAX
6363LX0001XNurse PractitionerObstetrics & GynecologyRN 548298X

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0056502MEDICAIDCALIFORNIA

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: 11/14/2023

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