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Organization
SUNSHINE WOMENS MEDICAL CENTER
Active
Organization
SUNSHINE WOMENS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE SOOK SONG MD (CEO)
(209) 543-7400
Entity
Organization
Contact information
Practice address
4213 DALE RD, SUITE 1, MODESTO, CA 95356-8505
(209) 543-7400
(209) 543-7403
Mailing address
4213 DALE RD, SUITE 1, MODESTO, CA 95356-8505
(209) 543-7400
(209) 543-7403
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A71560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A715600
BLUESHIELD PROVIDER NUMBE
CA
05
—
00A715600
—
CA
05
—
3613034
—
CA
01
—
7442284
BLUECROSS PROVIDER NUMBER
CA
Enumeration date
11/29/2006
Last updated
08/22/2020
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