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General NPI Number Information
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NPI Number | 1750561742
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Entity Type | Organization
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Legal Business Name | SUNCENTER MEDICAL OFFICES, LLC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 6915 CALLE ALMERIA NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1093
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Country | US
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Telephone | 505-345-3708
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Fax | 505-345-3708
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Provider Business Mailing Address
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Address Line | 6915 CALLE ALMERIA NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1093
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Country | US
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Telephone | 505-345-3708
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Fax | 505-345-3708
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Authorized Official
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Title or Position | OWNER
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Name | DR. E. SOPHIA CHRISTINE MALAIKA
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Credential | DOM
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Telephone | 505-345-3708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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