Organization
SUNSHINE ANESTHESIA A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ANNA MOORE (PRACTICE ADMINISTRATOR)
(415) 846-1803
Entity
Organization
Contact information
Practice address
38069 MARTHA AVE, SUITE 300, FREMONT, CA 94536-3811
(510) 744-9153
(510) 744-9399
Mailing address
38069 MARTHA AVE, SUITE 300, FREMONT, CA 94536-3811
(510) 744-9153
(510) 744-9399
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G27171
CA
207L00000X
Anesthesiology Physician
G28782
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G27171
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G28782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G271710
—
CA
05
—
00G287820
—
CA
Enumeration date
07/14/2006
Last updated
09/29/2016
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