Provider Demographics
NPI:1972296143
Name:NEW SUNSHINE MEDICAL CENTER
Entity type:Organization
Organization Name:NEW SUNSHINE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PINGRONG
Authorized Official - Middle Name:
Authorized Official - Last Name:GU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-799-9888
Mailing Address - Street 1:630 MISSION ST STE B
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3083
Mailing Address - Country:US
Mailing Address - Phone:626-799-9888
Mailing Address - Fax:626-977-9777
Practice Address - Street 1:630 MISSION ST STE B
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3083
Practice Address - Country:US
Practice Address - Phone:626-799-9888
Practice Address - Fax:626-977-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center