| Organization Name: | SUNKIST MULTISPECIALTY MEDICAL CLINIC, INC |
| NPI Number: | 1285780494 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICK JON AUERBACH (OWNER) |
| Mailing Address: | 13909 Amar Rd Ste B La Puente |
| State: | CA US |
| Postal Code: | 917461600 |
| Phone Number: | 6269608887 |
| Fax Number: | 6263380227 |
| NPI Enumeration Date: | 01/28/2007 |
| NPI Last Update Date: | 04/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |