MEDICARE: SUNSET ENT 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	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1689297277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET ENT INC.

Provider Business Mailing Address
First Line	:	3911 CLARK ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4282 GENESEE AVE STE 202
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-4989
Country	:	US
Telephone Number	:	619-320-5595
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. SAMANTHA JILL HAUFF
Credential	:	MD
Telephone Number	:	619-400-9779

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	05/18/2020

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Directions to “SUNSET ENT INC. ” Practice Location

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