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Organization
SUNRISE WOMEN MEDICAL GROUP, INC
Active
Organization
SUNRISE WOMEN MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREEN HSUEH MD (PRESIDENT)
(818) 700-5678
Entity
Organization
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 700-5678
(323) 488-9782
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
(323) 254-0046
(323) 488-9782
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W8971
MEDICARE PTAN
CA
Enumeration date
02/06/2008
Last updated
06/17/2019
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