Healthcare Provider Details

I. General information

NPI: 1811758311
Provider Name (Legal Business Name): SUNSHINE MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 VERDUGO RD STE 3
MONTROSE CA
91020-1678
US

IV. Provider business mailing address

3720 VERDUGO RD STE 3
MONTROSE CA
91020-1678
US

V. Phone/Fax

Practice location:
  • Phone: 818-369-7014
  • Fax:
Mailing address:
  • Phone: 818-369-7014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. GAYANE SADIKYAN
Title or Position: CEO
Credential:
Phone: 818-369-7014