Active NPI
Sun Healing Arts Group Clinic
- General Practice Physician
- San Gabriel, CA
National Provider Identifier
1699111740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A31180
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A31180 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.