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Organization
SUNSHINE MEDICAL CLINIC INC
Active
Organization
SUNSHINE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD J MEMON M.D. (SECRETARY)
(310) 639-7200
Entity
Organization
Contact information
Practice address
555 W COMPTON BLVD STE 104, COMPTON, CA 90220-3099
(310) 639-7200
(310) 639-0200
Mailing address
555 W COMPTON BLVD STE 104, COMPTON, CA 90220-3099
(310) 639-7200
(310) 639-0200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A66225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089750
—
CA
01
—
P00121487
CHAMPUS ID
CA
01
—
ZZZ03316Z
BLUE SHIELD ID
CA
Enumeration date
11/01/2006
Last updated
06/21/2018
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