Sunrise Medical Group | |
5475 E. La Palma Ave Suite 100 Anaheim CA 92807-2075 | |
(714) 970-0911 | |
(714) 970-0604 |
Full Name | Sunrise Medical Group |
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Speciality | Family Medicine |
Location | 5475 E. La Palma Ave, Anaheim, California |
Authorized Official Name and Position | Kalpna Mapara (ADMNISTRATOR) |
Authorized Official Contact | 7149700911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunrise Medical Group 5475 E. La Palma Ave Suite 100 Anaheim CA 92807-2075 Ph: (714) 970-0911 | Sunrise Medical Group 5475 E. La Palma Ave Suite 100 Anaheim CA 92807-2075 Ph: (714) 970-0911 |
NPI Number | 1518001114 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 05/16/2013 |
Medicare PECOS PAC ID | 8224169578 |
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Medicare Enrollment ID | O20100630000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518001114 | NPI | - | NPPES |
A37744 | Other | CA | STATE LICENSE |
ZZZ180367 | Other | CA | BLUE SHIELD PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A28448 (California) | Secondary |
207Q00000X | Family Medicine | A37744 (California) | Primary |
207R00000X | Internal Medicine | A78248 (California) | Secondary |
Provider Name | Sunil Chimanlal Mapara |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386777472 PECOS PAC ID: 3476684721 Enrollment ID: I20100630000287 |
Provider Name | Pooja M Akotia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316234511 PECOS PAC ID: 8325264807 Enrollment ID: I20140717002204 |
The Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801 Phone: 714-772-1030 Fax: 714-772-1758 | |
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