# MAPARA MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUNRISE MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518001114
- **Authorized official:** KALPNA MAPARA (ADMNISTRATOR)
- **Authorized official phone:** (714) 970-0911

## Contact information

- **Practice address:** 5475 E. LA PALMA AVE, SUITE 100, ANAHEIM, CA 92807-2075
- **Practice address phone:** (714) 970-0911
- **Practice address fax:** (714) 970-0604
- **Mailing address:** 5475 E. LA PALMA AVE, SUITE 100, ANAHEIM, CA 92807-2075
- **Mailing address phone:** (714) 970-0911
- **Mailing address fax:** (714) 970-0604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A28448 | CA | — |
| 207Q00000X | Family Medicine Physician | A37744 | CA | Yes |
| 207R00000X | Internal Medicine Physician | A78248 | CA | — |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 05/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A37744 | STATE LICENSE | CA |
| 01 | — | ZZZ180367 | BLUE SHIELD PIN | CA |