# SAMUEL SUNSHINE MD MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OC Sports and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083843460
- **Authorized official:** DR. SAMUEL SUNSHINE M.D. (OWNER)
- **Authorized official phone:** (949) 460-9111

## Contact information

- **Practice address:** 26700 TOWNE CENTRE DR STE 100, FOOTHILL RANCH, CA 92610-2843
- **Practice address phone:** (949) 460-9111
- **Practice address fax:** (949) 460-9055
- **Mailing address:** 26700 TOWNE CENTRE DR STE 100, FOOTHILL RANCH, CA 92610-2843
- **Mailing address phone:** (949) 460-9111
- **Mailing address fax:** (949) 460-9055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | G77348 | CA | Yes |

## Other

- **Enumeration date:** 07/07/2009
- **Last updated:** 07/24/2009