Organization Active NPI

Sun Healing Arts Group Clinic

  • General Practice Physician
  • San Gabriel, CA
National Provider Identifier
1699111740
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A31180 Issued in CA
Legal business name
SUN HEALING ARTS GROUP CLINIC
Practice address
288 S. San Gabriel Blvd.
Suite 206
San Gabriel, CA 91776-1668
Phone
(626) 308-0660
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Sally Sun
Title
M.D.
Phone
(626) 308-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A31180 CA Primary

Addresses

Primary practice location

288 S. San Gabriel Blvd.
Suite 206
San Gabriel, CA 91776-1668

Mailing address

288 S. San Gabriel Blvd.
Suite 206
San Gabriel, CA 91776-1668
Phone (626) 308-0660

Other identifiers 1

IdentifierTypeStateIssuer
A31180OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1699111740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 S. SAN GABRIEL BLVD.",
            "address_2": "SUITE 206",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761668",
            "telephone_number": "626-308-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S. SAN GABRIEL BLVD.",
            "address_2": "SUITE 206",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761668",
            "telephone_number": "626-308-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALING ARTS GROUP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "626-308-0660"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A31180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A31180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.