| Sunrise Medical Clinic, Inc. | |
|
9701 Lakewood Blvd Suite A Downey CA 90240 | |
| (562) 861-8999 | |
| (562) 861-0999 |
| Full Name | Sunrise Medical Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9701 Lakewood Blvd, Downey, California |
| Authorized Official Name and Position | Kyi San (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5628064040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medical Clinic, Inc. 9701 Lakewood Blvd Suite A Downey CA 90240 Ph: (562) 861-8999 | Sunrise Medical Clinic, Inc. 9701 Lakewood Blvd Suite A Downey CA 90240 Ph: (562) 861-8999 |
| NPI Number | 1467629675 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 2062589252 |
|---|---|
| Medicare Enrollment ID | O20080930000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467629675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Kyi K San |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245438332 PECOS PAC ID: 5597847921 Enrollment ID: I20080124000364 |
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