# SUN MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AFC Ladera RAnch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114588704
- **Authorized official:** MIRANDA DE LUNA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (316) 214-7764

## Contact information

- **Practice address:** 27522 ANTONIO PKWY STE P3, LADERA RANCH, CA 92694-2166
- **Practice address phone:** (714) 337-9393
- **Mailing address:** PO BOX 519, LAKE FOREST, CA 92609-0519
- **Mailing address phone:** (949) 207-3786
- **Mailing address fax:** (949) 216-3232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 12/18/2023