Organization
A SUN MEDICAL CLINIC CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW S. SUN M.D. (PROVIDER/OWNER)
(626) 308-0660
Entity
Organization
Contact information
Practice address
288 S SAN GABRIEL BLVD, SUITE 206, SAN GABRIEL, CA 91776-1668
(626) 308-0660
Mailing address
288 S SAN GABRIEL BLVD, SUITE 206, SAN GABRIEL, CA 91776-1668
(626) 308-0660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G13537
CA
208000000X
Pediatrics Physician
G13537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G135370
—
CA
01
—
G13537
STATE LICENSE
CA
Enumeration date
04/19/2007
Last updated
08/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us