Healthcare Provider Details

I. General information

NPI: 1588335087
Provider Name (Legal Business Name): SUNSHINE MENTAL HEALTH CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 S EASTERN AVE STE 500
COMMERCE CA
90040-4033
US

IV. Provider business mailing address

5800 S EASTERN AVE STE 500
COMMERCE CA
90040-4033
US

V. Phone/Fax

Practice location:
  • Phone: 323-868-4053
  • Fax: 323-406-2237
Mailing address:
  • Phone: 323-868-4053
  • Fax: 323-406-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: CINDY TAFOYA
Title or Position: OWNER
Credential:
Phone: 323-308-9397