# RIVERSIDE ENDOCRINOLOGY SPECIALISTS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639501182
- **Authorized official:** DR. CHAO H. SUN M.D. (PHYSICIAN MANAGER)
- **Authorized official phone:** (951) 687-3400

## Contact information

- **Practice address:** 22555 ALESSANDRO BLVD, SUITE B, MORENO VALLEY, CA 92553-8533
- **Practice address phone:** (951) 656-1660
- **Practice address fax:** (951) 656-2060
- **Mailing address:** 1801 W OLYMPIC BLVD, FILE 1614, PASADENA, CA 91199-1614
- **Mailing address phone:** (951) 687-3400
- **Mailing address fax:** (951) 687-7630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2013
- **Last updated:** 04/13/2015