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Organization
MICHAEL J SUNDINE, M.D., INC.
Active
Organization
MICHAEL J SUNDINE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES SUNDINE M.D. (PRESIDENT)
(949) 706-3100
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE, SUITE 501, NEWPORT BEACH, CA 92660-7720
(949) 706-3100
(949) 706-3265
Mailing address
7 STILLWATER, IRVINE, CA 92603-3426
(949) 706-3100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G66233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G662330
—
CA
Enumeration date
01/02/2008
Last updated
02/20/2009
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