| Sunjen Medical Inc. | |
|
513 E Lime Ave #201 Monrovia CA 91016 | |
| (626) 445-1000 | |
| (626) 513-8750 |
| Full Name | Sunjen Medical Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 513 E Lime Ave, Monrovia, California |
| Authorized Official Name and Position | Louis C. Ho (OWNER) |
| Authorized Official Contact | 6264451000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunjen Medical Inc. 513 E Lime Ave #201 Monrovia CA 91016 Ph: (626) 445-1000 | Sunjen Medical Inc. 513 E Lime Ave #201 Monrovia CA 91016 Ph: (626) 445-1000 |
| NPI Number | 1316339880 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 05/16/2018 |
| Medicare PECOS PAC ID | 0547588543 |
|---|---|
| Medicare Enrollment ID | O20150422001590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316339880 | NPI | - | NPPES |
| CB228846 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A11585 (California) | Primary |
| Provider Name | Louis Chao-i Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629375431 PECOS PAC ID: 1456679455 Enrollment ID: I20150422001624 |
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