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NPI Code Detail

MEDICARE: SUNNIE LEE SKILES MD

MEDICARE: SUNNIE LEE SKILES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianG66133CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033281365
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNNIE LEE SKILES MD
Provider Business Mailing Address
First Line : 1860 HOWE AVE STE 440
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-1098
Country : US
Telephone Number : 916-569-8484
Fax Number :
Provider Business Practice Location Address
First Line : 4815 WATT AVE
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-5108
Country : US
Telephone Number : 916-454-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 08/06/2025

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Directions to “ SUNNIE LEE SKILES MD” Practice Location

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