Healthcare Provider Details

I. General information

NPI: 1013350479
Provider Name (Legal Business Name): SUNBEAM,LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44723 STONEBRIDGE LN
LANCASTER CA
93536-6424
US

IV. Provider business mailing address

44723 STONEBRIDGE LN
LANCASTER CA
93536-6424
US

V. Phone/Fax

Practice location:
  • Phone: 661-524-0771
  • Fax: 661-941-2076
Mailing address:
  • Phone: 661-524-0771
  • Fax: 661-949-1034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDERSON BANGIS MUNOZ
Title or Position: CEO
Credential:
Phone: 818-687-3830