Provider Demographics
NPI:1992304406
Name:SUNSHINE SOLUTIONS GROUP LLC
Entity type:Organization
Organization Name:SUNSHINE SOLUTIONS GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNG
Authorized Official - Middle Name:SOO
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-900-1982
Mailing Address - Street 1:5448 RIDER PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3747
Mailing Address - Country:US
Mailing Address - Phone:410-303-4941
Mailing Address - Fax:
Practice Address - Street 1:8274 PARKWAY DR STE 102
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-2445
Practice Address - Country:US
Practice Address - Phone:619-900-1982
Practice Address - Fax:619-900-1977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty