Organization
SUNRISE HEALTH & WELLNESS CENTER, LLC
Active
Organization
SUNRISE HEALTH & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST VASTI (OWNER)
(209) 463-0891
Entity
Organization
Contact information
Practice address
10089 FOLSOM BLVD. SUITES A & C, RANCHO CORDOVA, CA 95670-1935
(916) 366-6531
Mailing address
PO BOX 4057, STOCKTON, CA 95204-0057
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G54133
CA
Other
Enumeration date
01/29/2018
Last updated
10/22/2020
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