Healthcare Provider Details
I. General information
NPI: 1245019835
Provider Name (Legal Business Name): SUNLITE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2023
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1231 E VALLEY BLVD
ALHAMBRA CA
91801-5235
US
IV. Provider business mailing address
1231 E VALLEY BLVD
ALHAMBRA CA
91801-5235
US
V. Phone/Fax
- Phone: 626-608-9817
- Fax:
- Phone: 626-608-9817
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THAN
LUU
Title or Position: PRESIDENT
Credential: MD
Phone: 626-608-9817