Organization
SUNNY PARK MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY PARK MD (CEO)
(267) 456-5066
Entity
Organization
Contact information
Practice address
901 DOVER DR STE 126, NEWPORT BEACH, CA 92660-5546
(949) 873-5089
Mailing address
901 DOVER DR STE 126, NEWPORT BEACH, CA 92660-5546
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A114258
CA
Other
Enumeration date
04/26/2014
Last updated
01/09/2015
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