Provider Demographics
NPI:1982048310
Name:SUNYO SUPERIOR HEALTHCARE INC.
Entity type:Organization
Organization Name:SUNYO SUPERIOR HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANGYOU
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHONG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, OMD, PHD
Authorized Official - Phone:310-275-8887
Mailing Address - Street 1:9001 WILSHIRE BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1841
Mailing Address - Country:US
Mailing Address - Phone:310-275-8887
Mailing Address - Fax:310-205-0628
Practice Address - Street 1:9001 WILSHIRE BLVD STE 308
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1841
Practice Address - Country:US
Practice Address - Phone:310-275-8887
Practice Address - Fax:310-205-0628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 32886111N00000X
CADC25005111N00000X
CADC31188111N00000X
CADC29743111N00000X
CA111N00000X
CA3991171100000X
CAG37026208D00000X
CA21197208D00000X
CANPF23341363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty