| Sunptr | |
|
2017 N Bridge St Visalia CA 93291-2174 | |
| (510) 691-0474 | |
| Not Available |
| Full Name | Sunptr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2017 N Bridge St, Visalia, California |
| Authorized Official Name and Position | Mark A Gonzales (PRESIDENT) |
| Authorized Official Contact | 5106910474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunptr 4023 W Douglas Ave Visalia CA 93291-4185 Ph: (510) 691-0474 | Sunptr 2017 N Bridge St Visalia CA 93291-2174 Ph: (510) 691-0474 |
| NPI Number | 1275038879 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275038879 | NPI | - | NPPES |
| 1619306289 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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