Sunkist Multispecialty Medical Clinic, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SUNKIST MULTISPECIALTY MEDICAL CLINIC, INC

Practice address

13909 Amar Rd Ste B
La Puente, CA 91746-1600

Phone

(626) 960-8887

Fax

(626) 338-0227

NPI assigned

Jan 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rick Jon Auerbach, P.A.

Title

Owner

Phone

(626) 960-8887

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1285780494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 AMAR RD STE B",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461600",
            "telephone_number": "626-960-8887",
            "fax_number": "626-338-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 AMAR RD STE B",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461600",
            "telephone_number": "626-960-8887",
            "fax_number": "626-338-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNKIST MULTISPECIALTY MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-960-8887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RENDERING PHYS",
            "identifier": "G37465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in La Puente, CA
• Providers in La Puente, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.