Healthcare Provider Details

I. General information

NPI: 1942870191
Provider Name (Legal Business Name): SUNRISE NEUROLOGY ASSOCIATES APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9041 MAGNOLIA AVE STE 9
RIVERSIDE CA
92503-3941
US

IV. Provider business mailing address

9041 MAGNOLIA AVE STE 9
RIVERSIDE CA
92503-3941
US

V. Phone/Fax

Practice location:
  • Phone: 951-784-7444
  • Fax:
Mailing address:
  • Phone: 951-784-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: RAJAN PREET ARORA
Title or Position: VICE-PRESIDENT AND SECRETARY
Credential: MD
Phone: 909-569-9536