| Sunrise Medical Group, Llc | |
|
4560 S Eastern Ave Suite B17 Las Vegas NV 89119-6182 | |
| (832) 554-6595 | |
| Not Available |
| Full Name | Sunrise Medical Group, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4560 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Cornell Smith (ADMINISTRATOR) |
| Authorized Official Contact | 8325546595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medical Group, Llc 4560 S Eastern Ave Suite B17 Las Vegas NV 89119-6182 Ph: (832) 554-6595 | Sunrise Medical Group, Llc 4560 S Eastern Ave Suite B17 Las Vegas NV 89119-6182 Ph: (832) 554-6595 |
| NPI Number | 1669864930 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669864930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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