| Sunlife Medical Group | |
|
73-211 Fred Waring Drive, Ste. 100 Palm Desert CA 92260 | |
| (760) 568-4939 | |
| (760) 341-8544 |
| Full Name | Sunlife Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 73-211 Fred Waring Drive, Ste. 100, Palm Desert, California |
| Authorized Official Name and Position | A. Gregory Caruso (PHYSICIAN) |
| Authorized Official Contact | 7605684939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunlife Medical Group 73211 Fred Waring Dr Suite 100 Palm Desert CA 92260-2871 Ph: (760) 568-4939 | Sunlife Medical Group 73-211 Fred Waring Drive, Ste. 100 Palm Desert CA 92260 Ph: (760) 568-4939 |
| NPI Number | 1215149745 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 01/09/2012 |
| Medicare PECOS PAC ID | 9739129198 |
|---|---|
| Medicare Enrollment ID | O20050505000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215149745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Lolita Reyes Montoya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255535282 PECOS PAC ID: 4981785417 Enrollment ID: I20080122000650 |
| Provider Name | Alfred Caruso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508825662 PECOS PAC ID: 9739240227 Enrollment ID: I20100126000294 |
| Provider Name | John C Romano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134330558 PECOS PAC ID: 1658523733 Enrollment ID: I20121219000134 |
| Provider Name | Romina Mcgalliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493451 PECOS PAC ID: 8628424462 Enrollment ID: I20231030003475 |
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