| A Sun Medical Clinic Co | |
|
288 S San Gabriel Blvd Suite 206 San Gabriel CA 91776-1668 | |
| (626) 308-0660 | |
| Not Available |
| Full Name | A Sun Medical Clinic Co |
|---|---|
| Speciality | Family Medicine |
| Location | 288 S San Gabriel Blvd, San Gabriel, California |
| Authorized Official Name and Position | Andrew S. Sun (PROVIDER/OWNER) |
| Authorized Official Contact | 6263080660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Sun Medical Clinic Co 288 S San Gabriel Blvd Suite 206 San Gabriel CA 91776-1668 Ph: (626) 308-0660 | A Sun Medical Clinic Co 288 S San Gabriel Blvd Suite 206 San Gabriel CA 91776-1668 Ph: (626) 308-0660 |
| NPI Number | 1447477898 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447477898 | NPI | - | NPPES |
| G13537 | Other | CA | STATE LICENSE |
| 00G135370 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G13537 (California) | Primary |
| 208000000X | Pediatrics | G13537 (California) | Secondary |
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