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Organization
S M MULTISPECIALTY MEDICAL CORPORATION
Active
Organization
S M MULTISPECIALTY MEDICAL CORPORATION
Active
Other names
SUNRISE MULTI-SPECIALTY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL MAPARA (PRESIDENT)
(714) 970-0911
Entity
Organization
Contact information
Practice address
2492 WALNUT AVE, SUITE 110, TUSTIN, CA 92780-6953
(714) 669-1997
(714) 573-7424
Mailing address
2492 WALNUT AVE, SUITE 110, TUSTIN, CA 92780-6953
(714) 669-1997
(714) 573-7424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A37744
CA
207X00000X
Orthopaedic Surgery Physician
20A8503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A37744
STATE LICENSE
CA
Enumeration date
02/16/2007
Last updated
10/17/2022
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