Organization Active NPI

Sunny Villa Inc.

  • Assisted Living Facility
  • Fullerton, CA
National Provider Identifier
1699553255
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUNNY VILLA INC.
Practice address
1857 Sheddon St
Fullerton, CA 92833-5659
Phone
(818) 437-0477
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Yung Min Lee
Title
Ceo
Phone
(818) 437-0477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1857 Sheddon St
Fullerton, CA 92833-5659

Mailing address

222 N Harvard Blvd
Los Angeles, CA 90004-4319
Phone (818) 437-0477

Other names 1

  • Sunny Villa Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1699553255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N HARVARD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044319",
            "telephone_number": "818-437-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 SHEDDON ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335659",
            "telephone_number": "818-437-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY VILLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YUNG",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-437-0477"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.