Healthcare Provider Details

I. General information

NPI: 1982048310
Provider Name (Legal Business Name): SUNYO SUPERIOR HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2013
Last Update Date: 04/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 WILSHIRE BLVD STE 308
BEVERLY HILLS CA
90211-1841
US

IV. Provider business mailing address

9001 WILSHIRE BLVD STE 308
BEVERLY HILLS CA
90211-1841
US

V. Phone/Fax

Practice location:
  • Phone: 310-275-8887
  • Fax: 310-205-0628
Mailing address:
  • Phone: 310-275-8887
  • Fax: 310-205-0628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 32886
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25005
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC31188
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29743
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number3991
License Number StateCA
# 7
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG37026
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number21197
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNPF23341
License Number StateCA

VIII. Authorized Official

Name: SHANGYOU ZHONG
Title or Position: OWNER
Credential: LAC., OMD., PHD.
Phone: 310-275-8887