MEDICARE: SUNSET FAMILY MEDICAL CLINIC

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	261QH0100X	Health Service Clinic/Center	OOA250700	CA

General Provider Information

NPI Number	:	1598836108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET FAMILY MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	3706 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1528
Country	:	US
Telephone Number	:	323-669-1036
Fax Number	:	323-661-9919

Provider Business Practice Location Address
First Line	:	3706 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1528
Country	:	US
Telephone Number	:	323-669-1036
Fax Number	:	323-661-9919

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALFREDO ENRIQUE SWEENY
Credential	:	M.D
Telephone Number	:	323-669-1036

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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Directions to “SUNSET FAMILY MEDICAL CLINIC ” Practice Location

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