New Sunrise Clinic | |
2600 W Pico Blvd Suite 105 Los Angeles CA 90006-3902 | |
(213) 388-2772 | |
(213) 388-2112 |
Full Name | New Sunrise Clinic |
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Speciality | Family Medicine |
Location | 2600 W Pico Blvd, Los Angeles, California |
Authorized Official Name and Position | Peter Takayuki Arai (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 2133882772 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Sunrise Clinic Po Box 27206 Los Angeles CA 90027-0206 Ph: (213) 385-0675 | New Sunrise Clinic 2600 W Pico Blvd Suite 105 Los Angeles CA 90006-3902 Ph: (213) 388-2772 |
NPI Number | 1154465631 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 04/10/2017 |
Medicare PECOS PAC ID | 0244497931 |
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Medicare Enrollment ID | O20150325001802 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154465631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A54976 (California) | Primary |
Provider Name | Peter T Arai |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770678716 PECOS PAC ID: 4688636392 Enrollment ID: I20041103000855 |
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