| Sunkist Multispecialty Medical Clinic, Inc | |
|
13909 Amar Rd Ste B La Puente CA 91746-1600 | |
| (626) 960-8887 | |
| (626) 338-0227 |
| Full Name | Sunkist Multispecialty Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13909 Amar Rd Ste B, La Puente, California |
| Authorized Official Name and Position | Rick Jon Auerbach (OWNER) |
| Authorized Official Contact | 6269608887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunkist Multispecialty Medical Clinic, Inc 13909 Amar Rd Ste B La Puente CA 91746-1600 Ph: (626) 960-8887 | Sunkist Multispecialty Medical Clinic, Inc 13909 Amar Rd Ste B La Puente CA 91746-1600 Ph: (626) 960-8887 |
| NPI Number | 1285780494 |
|---|---|
| Provider Enumeration Date | 01/28/2007 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 1557390069 |
|---|---|
| Medicare Enrollment ID | O20050804001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285780494 | NPI | - | NPPES |
| GR0087790 | Medicaid | CA | |
| G37465 | Other | CA | MEDICARE RENDERING PHYS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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