Organization Active NPI

Sunrise Medical Clinic, Inc.

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1467629675
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNRISE MEDICAL CLINIC, INC.
Practice address
9701 Lakewood Blvd
Suite a
Downey, CA 90240
Phone
(562) 861-8999
Fax
(562) 861-0999
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Kyi San, M.D.
Title
Medical Director
Phone
(562) 806-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X CA Primary

Addresses

Primary practice location

9701 Lakewood Blvd
Suite a
Downey, CA 90240

Mailing address

9701 Lakewood Blvd
Suite a
Downey, CA 90240
Phone (562) 861-8999

National Provider Directory

National Provider Directory

Locations

9701 Lakewood Blvd
Downey, CA 90240

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1467629675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 LAKEWOOD BLVD",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-861-8999",
            "fax_number": "562-861-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 LAKEWOOD BLVD",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-861-8999",
            "fax_number": "562-861-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "SAN",
        "authorized_official_first_name": "KYI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-806-4040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.