Healthcare Provider Details

I. General information

NPI: 1740932474
Provider Name (Legal Business Name): SUNSHINE MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15065 IMPERIAL HWY
LA MIRADA CA
90638-1302
US

IV. Provider business mailing address

15065 IMPERIAL HWY
LA MIRADA CA
90638-1302
US

V. Phone/Fax

Practice location:
  • Phone: 562-501-2199
  • Fax: 562-501-9240
Mailing address:
  • Phone: 562-501-2199
  • Fax: 562-501-9240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. KARINE NERSESSIAN
Title or Position: PRESIDENT
Credential:
Phone: 562-501-2199