MEDICARE: SUNSET RADIOLOGY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	G83220	CA

General Provider Information

NPI Number	:	1114117678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET RADIOLOGY, INC.

Provider Business Mailing Address
First Line	:	27520 HAWTHORNE BLVD. #220
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-3580
Country	:	US
Telephone Number	:	310-706-4440
Fax Number	:	310-706-4441

Provider Business Practice Location Address
First Line	:	27520 HAWTHORNE BLVD. #220
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-3580
Country	:	US
Telephone Number	:	310-706-4440
Fax Number	:	310-706-4441

Authorized Official
Title or Position	:	COO
Name	:	MS. MARILYN PATRICIA LEE
Credential	:	J.D.
Telephone Number	:	310-706-4440

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	05/01/2013

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Directions to “SUNSET RADIOLOGY, INC. ” Practice Location

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