Modern Care Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MODERN CARE MEDICAL GROUP INC

Practice address

8811 Garvey Ave Ste 101
Rosemead, CA 91770-2461

Phone

(626) 589-0135

Fax

(626) 795-0779

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Sally Sutyee Sun, MD

Title

Ceo

Phone

(626) 589-0135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1659921971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 GARVEY AVE STE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702461",
            "telephone_number": "626-589-0135",
            "fax_number": "626-795-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 GARVEY AVE STE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702461",
            "telephone_number": "626-589-0135",
            "fax_number": "626-795-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "SUTYEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-589-0135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.