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Organization

LINCOLN HEIGHTS FAMILY & INDUSTRIAL MEDICAL CLINIC

Active
Other names
SUNRISE MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL KWOK-KUEN CHUNG M.D. (PRESIDENT)
(909) 988-2555
Entity
Organization

Contact information

Practice address
437 N EUCLID AVE, SUITE A, ONTARIO, CA 91762-3456
(909) 988-2555
(909) 988-4447
Mailing address
437 N. EUCLID AVE., SUITE A, ONTARIO, CA 91762
(909) 988-2555
(909) 988-4447

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A6725
CA
207VX0000X
Obstetrics Physician
A37294
CA
208D00000X
General Practice Physician
A33894
CA
363A00000X
Physician Assistant
PA 14845
CA
363A00000X
Physician Assistant
PA 16663
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN 548298

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0056502
CA
Enumeration date
05/10/2007
Last updated
09/11/2025
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