Organization
SUNKIST MULTISPECIALTY MEDICAL CLINIC, INC
Active
Organization
SUNKIST MULTISPECIALTY MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK JON AUERBACH P.A. (OWNER)
(626) 960-8887
Entity
Organization
Contact information
Practice address
13909 AMAR RD STE B, LA PUENTE, CA 91746-1600
(626) 960-8887
(626) 338-0227
Mailing address
13909 AMAR RD STE B, LA PUENTE, CA 91746-1600
(626) 960-8887
(626) 338-0227
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G37465
MEDICARE RENDERING PHYS
CA
05
—
GR0087790
—
CA
Enumeration date
01/28/2007
Last updated
04/29/2008
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