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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