Sunil Sujan, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A63079 Issued in CA

Legal business name

SUNIL SUJAN, M.D., INC.

Practice address

800 S Main St
Corona, CA 92882-3420

Phone

(951) 736-6325

NPI assigned

Sep 12, 2007

Reactivated

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sunil Sujan

Title

M.D.

Phone

(310) 351-4566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1831384783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "address_2": "SUITE 997",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823420",
            "telephone_number": "951-736-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL SUJAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "deactivation_date": "2020-07-02",
        "reactivation_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "SUJAN",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-351-4566",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Voeltner Sumpter, MS, LMFT
• Christine H Sun, M.D.
• Jimmy Jyh-Ming Sun, MD
• Brandon Sundquist
• Si Yeun Sung, DDS
• Sunrise Homehealth Care Corp
• Sunrise Medical Associates Inc
• Sunrise Post Acute Services Inc
• Superior Care Pharmacy Inc
• Samira Suradi

• Internal Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.