| Sun Health Medical Clinic, Inc. | |
|
427 C St Ste 216 San Diego CA 92101-5121 | |
| (619) 239-4979 | |
| (619) 239-5960 |
| Full Name | Sun Health Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 427 C St Ste 216, San Diego, California |
| Authorized Official Name and Position | Sunita Shailam (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6192394979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Health Medical Clinic, Inc. 427 C St Ste 216 San Diego CA 92101-5121 Ph: (619) 239-4979 | Sun Health Medical Clinic, Inc. 427 C St Ste 216 San Diego CA 92101-5121 Ph: (619) 239-4979 |
| NPI Number | 1669574471 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042486672 |
|---|---|
| Medicare Enrollment ID | O20120104000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669574471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| Provider Name | Sunita Shailam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174625933 PECOS PAC ID: 8325214950 Enrollment ID: I20120104000165 |
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