Healthcare Provider Details
I. General information
NPI: 1528677291
Provider Name (Legal Business Name): SUNRISE FAMILY COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2020
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5800 S EASTERN AVE STE 551
COMMERCE CA
90040-4016
US
IV. Provider business mailing address
5800 S EASTERN AVE STE 551
COMMERCE CA
90040-4016
US
V. Phone/Fax
- Phone: 714-623-9171
- Fax: 714-908-8383
- Phone: 714-623-9171
- Fax: 714-908-8383
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BIANCA
RANNEY
Title or Position: OWNER
Credential: EDD, LMFT
Phone: 714-623-9171