Sunset Medical Clinic Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A38045 Issued in CA

Legal business name

SUNSET MEDICAL CLINIC INC

Practice address

222 N Sunset Ave
Suite F
West Covina, CA 91790-2278

Phone

(626) 338-1016

Fax

(626) 960-5909

NPI assigned

Sep 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin L Edillon, MD

Title

Owner/Sole Practioner

Phone

(626) 338-1016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1700073103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N SUNSET AVE",
            "address_2": "SUITE F",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902278",
            "telephone_number": "626-338-1016",
            "fax_number": "626-960-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N SUNSET AVE",
            "address_2": "SUITE F",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902278",
            "telephone_number": "626-338-1016",
            "fax_number": "626-960-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-29",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "EDILLON",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SOLE PRACTIONER",
        "authorized_official_telephone_number": "626-338-1016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A38045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.