| Sun Vida Medical Clinic Inc | |
|
8133 San Fernando Rd Ste B1 Sun Valley CA 91352-4065 | |
| (818) 208-1077 | |
| Not Available |
| Full Name | Sun Vida Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8133 San Fernando Rd Ste B1, Sun Valley, California |
| Authorized Official Name and Position | Vicrumdeep Singh Tung (CEO/OWNER) |
| Authorized Official Contact | 8182081077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Vida Medical Clinic Inc 8133 San Fernando Rd Ste B1 Sun Valley CA 91352-4065 Ph: (818) 208-1077 | Sun Vida Medical Clinic Inc 8133 San Fernando Rd Ste B1 Sun Valley CA 91352-4065 Ph: (818) 208-1077 |
| NPI Number | 1558195107 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Medicare PECOS PAC ID | 5496281107 |
|---|---|
| Medicare Enrollment ID | O20241204004410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558195107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Vicrumdeep S Tung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891163499 PECOS PAC ID: 8224312616 Enrollment ID: I20170302002204 |
| Provider Name | Aileen Kasparian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912735325 PECOS PAC ID: 4486186137 Enrollment ID: I20241018001873 |
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