| Sunny Hills Medical Center Inc. | |
|
140 E Commonwealth Ave Ste 100 Fullerton CA 92832-1905 | |
| (714) 572-3900 | |
| (714) 572-4300 |
| Full Name | Sunny Hills Medical Center Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 140 E Commonwealth Ave Ste 100, Fullerton, California |
| Authorized Official Name and Position | Sandhya Gudapati (PRESIDENT) |
| Authorized Official Contact | 7147734111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Hills Medical Center Inc. 140 E Commonwealth Ave Ste 100 Fullerton CA 92832-1905 Ph: (714) 572-3900 | Sunny Hills Medical Center Inc. 140 E Commonwealth Ave Ste 100 Fullerton CA 92832-1905 Ph: (714) 572-3900 |
| NPI Number | 1750008017 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Medicare PECOS PAC ID | 5294105938 |
|---|---|
| Medicare Enrollment ID | O20221221001928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750008017 | NPI | - | NPPES |
| Provider Name | Lalitha M Vakkalanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194755959 PECOS PAC ID: 9436177284 Enrollment ID: I20051109001200 |
| Provider Name | Rajiv Choudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619230323 PECOS PAC ID: 0345559274 Enrollment ID: I20151015002441 |
| Provider Name | Faith A Onwuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962976456 PECOS PAC ID: 3072847565 Enrollment ID: I20190703001539 |
| Provider Name | Eunsook Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295464469 PECOS PAC ID: 4284099110 Enrollment ID: I20230428001670 |
| Provider Name | Ali Rafatnia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346878717 PECOS PAC ID: 2668893009 Enrollment ID: I20231115002192 |
| Provider Name | Rajiv Choudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619230323 PECOS PAC ID: 0345559274 Enrollment ID: I20240513002390 |
| Provider Name | Hyesook Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740069483 PECOS PAC ID: 4284177080 Enrollment ID: I20240621000865 |
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