| Samuel Sunshine Md Medical Corporation | |
|
26700 Towne Centre Dr Ste 100 Foothill Ranch CA 92610-2843 | |
| (949) 460-9111 | |
| (949) 460-9055 |
| Full Name | Samuel Sunshine Md Medical Corporation |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 26700 Towne Centre Dr Ste 100, Foothill Ranch, California |
| Authorized Official Name and Position | Samuel Sunshine (OWNER) |
| Authorized Official Contact | 9494609111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Sunshine Md Medical Corporation 26700 Towne Centre Dr Ste 100 Foothill Ranch CA 92610-2843 Ph: (949) 460-9111 | Samuel Sunshine Md Medical Corporation 26700 Towne Centre Dr Ste 100 Foothill Ranch CA 92610-2843 Ph: (949) 460-9111 |
| NPI Number | 1083843460 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083843460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | G77348 (California) | Primary |
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