| Sunshine Medical Clinic Inc | |
|
555 W Compton Blvd Ste 104 Compton CA 90220-3099 | |
| (310) 639-7200 | |
| (310) 639-0200 |
| Full Name | Sunshine Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 555 W Compton Blvd Ste 104, Compton, California |
| Authorized Official Name and Position | Muhammad J Memon (SECRETARY) |
| Authorized Official Contact | 3106397200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Medical Clinic Inc 555 W Compton Blvd Ste 104 Compton CA 90220-3099 Ph: (310) 639-7200 | Sunshine Medical Clinic Inc 555 W Compton Blvd Ste 104 Compton CA 90220-3099 Ph: (310) 639-7200 |
| NPI Number | 1386721900 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 6901073964 |
|---|---|
| Medicare Enrollment ID | O20120117000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386721900 | NPI | - | NPPES |
| P00121487 | Other | CA | CHAMPUS ID |
| GR0089750 | Medicaid | CA | |
| ZZZ03316Z | Other | CA | BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A66225 (California) | Primary |
| Provider Name | Muhammad J Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689744120 PECOS PAC ID: 6305980335 Enrollment ID: I20100215000403 |
| Provider Name | Abdul S Masoud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578633913 PECOS PAC ID: 9436326790 Enrollment ID: I20120127000276 |
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