Provider Demographics
NPI:1063151462
Name:SUNNY HILLS BEHAVIORAL HEALTH, INC.
Entity type:Organization
Organization Name:SUNNY HILLS BEHAVIORAL HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDHYA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GUDAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-773-4111
Mailing Address - Street 1:140 E COMMONWEALTH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1905
Mailing Address - Country:US
Mailing Address - Phone:714-773-4111
Mailing Address - Fax:714-773-4111
Practice Address - Street 1:140 E COMMONWEALTH AVE STE 100
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1905
Practice Address - Country:US
Practice Address - Phone:714-773-4111
Practice Address - Fax:714-773-4111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology