Sun Medical Center

Primary specialty

ContractorTaxonomy code 171W00000X

License

1247938 Issued in VA

Legal business name

SUN MEDICAL CENTER

Practice address

7700 Little River Tpke # 100B-1
Annandale, VA 22003-2406

Phone

(703) 752-4623

Fax

(703) 762-9978

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Sun H Lee

Title

Owner

Phone

(703) 296-7695

Specialties & licenses 2

Addresses

Tax ID family

Sun Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sun Medical Center, LLC

  • Primary Care Clinic/Center
  • Annandale, VA
  • NPI 1871970574
  NPD tax ID

Locations

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1356895171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE # 100B-1",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "703-752-4623",
            "fax_number": "703-762-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE # 100B-1",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "703-752-4623",
            "fax_number": "703-762-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-296-7695",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "VA",
            "license": "1247938",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "1247938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Strycula, CNS
• Lola Stubblefield, LPC
• Jee Young Suk
• Adlah Sukkar, M.D.
• Bernard Enoch Sumer
• Sun Medical Center, LLC
• Ruth Laarni Cedro Sunga-Lorico, MD
• Supreme Serenity Spa of Annandale LLC
• Beth Swiatocha
• Matthew Joseph Swierzbinski, M.D.

• Contractor in Annandale, VA
• Providers in Annandale, VA by specialty
• Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.