Organization
SUNRISE DIAGNOSTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE WILLIS D.O. (PRESIDENT)
(714) 326-6855
Entity
Organization
Contact information
Practice address
2500 E BALL RD, SUITE 220, ANAHEIM, CA 92806-5054
(562) 366-3388
(866) 214-8477
Mailing address
2500 E BALL RD, SUITE 220, ANAHEIM, CA 92806-5054
(562) 366-3388
(866) 214-8477
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A11362
CA
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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