Healthcare Provider Details

I. General information

NPI: 1104907666
Provider Name (Legal Business Name): SUNIL KUMAR NOWRANGI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST
LOMA LINDA CA
92350-1716
US

IV. Provider business mailing address

2068 ORANGE TREE LN STE 215
REDLANDS CA
92374-4555
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4000
  • Fax: 909-558-4212
Mailing address:
  • Phone: 909-580-4200
  • Fax: 909-558-4212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA50536
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA50536
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: