MEDICARE: SUNKAN CORP.

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	156FX1800X	Optician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F8121196	OTHER	CA	EYEMED,AVESIS, CEC, HUMANA, METLIFE, SPECTERA, UNITED HEALTHECARE, AETNA, DEIS
2	F8121196	OTHER	CA	AETNA, DEVIS VISION, HERITAGE, MESVISION, NVA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962165696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNKAN CORP.

Provider Business Mailing Address
First Line	:	6383 HAZEL ST
Second Line	:
City	:	EASTVALE
State	:	CA
Zip	:	92880-0785
Country	:	US
Telephone Number	:	626-616-9040
Fax Number	:

Provider Business Practice Location Address
First Line	:	18475 COLIMA RD
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2805
Country	:	US
Telephone Number	:	626-616-9040
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SIZHUO KAN
Credential	:
Telephone Number	:	626-616-9040

Provider Enumeration Date	:	10/19/2021
Last Update Date	:	10/19/2021

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Directions to “SUNKAN CORP. ” Practice Location

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