MEDICARE: SUN CITY MEDICAL GROUP 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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1922677319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN CITY MEDICAL GROUP INC.

Provider Business Mailing Address
First Line	:	646 W MAIN ST STE B
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-7914
Country	:	US
Telephone Number	:	442-271-4337
Fax Number	:	833-906-2293

Provider Business Practice Location Address
First Line	:	646 W MAIN ST STE B
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-7914
Country	:	US
Telephone Number	:	442-271-4337
Fax Number	:	833-906-2293

Authorized Official
Title or Position	:	CEO
Name	:	JOHN H GUILLEN III
Credential	:
Telephone Number	:	442-271-4337

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	07/03/2021

Similar Medicare Providers

1790627289 — EL PASO HEALTHCARE SYSTEM, LTD.
Practice Location Address:

1951 N ZARAGOZA RD
EL PASO, TX
79938-7914

Practice Phone: 615-344-9551
Practice Fax:

1922930312 — YESENIA DELGADILLO
Practice Location Address:

202 N 8TH ST
EL CENTRO, CA
92243-2302

Practice Phone: 442-265-1525
Practice Fax:

1467384719 — LAUREN J. WREN RN
Practice Location Address:

1398 SPERBER RD
EL CENTRO, CA
92243-9621

Practice Phone: 760-312-6464
Practice Fax:

1396677662 — DANNY LEE GUTIERREZ JR.
Practice Location Address:

202 N 8TH ST FL 3
EL CENTRO, CA
92243-2302

Practice Phone: 442-265-1586
Practice Fax:

1831034123 — KRISTIN NICOLE MITOSINKA
Practice Location Address:

202 N 8TH ST
EL CENTRO, CA
92243-2302

Practice Phone: 442-265-1525
Practice Fax:

1952128324 — MR. RICKY MANUEL TAMAYO MSN-FNP
Practice Location Address:

1972 ROSS AVE
EL CENTRO, CA
92243-3734

Practice Phone: 760-234-9801
Practice Fax:

Directions to “SUN CITY MEDICAL GROUP INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.