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Organization
SUNSET PHYSICAL THERAPY CORPORATION
Active
Organization
SUNSET PHYSICAL THERAPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES MACDONALD II DOCTOR OF PHYSICAL T (PRESIDENT)
(714) 843-9077
Entity
Organization
Contact information
Practice address
18800 MAIN ST, STE 104, HUNTINGTON BEACH, CA 92648
(714) 843-9077
(562) 799-8832
Mailing address
5901 WARNER AVE, #418, HUNTINGTON BEACH, CA 92649-4659
(714) 843-9077
(562) 799-8832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24666
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ004752
BLUE SHEILD OF CA
CA
Enumeration date
07/02/2006
Last updated
08/22/2020
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