Organization
SUN MEDICAL GROUP, INC
Active
Other names
AFC Ladera RAnch
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA DE LUNA MD (MEDICAL DIRECTOR)
(316) 214-7764
Entity
Organization
Contact information
Practice address
27522 ANTONIO PKWY STE P3, LADERA RANCH, CA 92694-2166
(714) 337-9393
Mailing address
PO BOX 519, LAKE FOREST, CA 92609-0519
(949) 207-3786
(949) 216-3232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
12/18/2023
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