Healthcare Provider Details

I. General information

NPI: 1275695181
Provider Name (Legal Business Name): NEWMED HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 ROSEMEAD BLVD 102
ROSEMEAD CA
91770-1933
US

IV. Provider business mailing address

3925 ROSEMEAD BLVD 102
ROSEMEAD CA
91770-1933
US

V. Phone/Fax

Practice location:
  • Phone: 626-288-1368
  • Fax: 626-288-1612
Mailing address:
  • Phone: 626-288-1368
  • Fax: 626-288-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC5215
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA31180
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA101606
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT42212
License Number StateCA

VIII. Authorized Official

Name: DR. SALLY S SUN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-288-1368