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Organization
SUNLAND MEDICAL GROUP,INC
Active
Organization
SUNLAND MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILIE G MORADA (OFFICE MANAGER)
(818) 352-3146
Entity
Organization
Contact information
Practice address
7709 FOOTHILL BLVD, TUJUNGA, CA 91042-2120
(818) 352-3146
(818) 352-8116
Mailing address
7709 FOOTHILL BLVD, TUJUNGA, CA 91042-2120
(818) 352-3146
(818) 352-8116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A36020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100020
—
CA
01
—
W18496
MEDICARE PTAN
CA
Enumeration date
10/03/2006
Last updated
10/10/2007
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