Organization
SUNSET SHORELINE
Active
Organization
SUNSET SHORELINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH KILLEBREW (MEMBER)
(714) 698-4500
Entity
Organization
Contact information
Practice address
1501 WESTCLIFF DR STE 309, NEWPORT BEACH, CA 92660-5519
(714) 698-4500
Mailing address
1501 WESTCLIFF DR STE 309, NEWPORT BEACH, CA 92660-5519
(714) 698-4500
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/18/2019
Last updated
07/02/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up