Provider Demographics
NPI:1114610045
Name:SUNRISE RESPIRATORY CARE, INC.
Entity Type:Organization
Organization Name:SUNRISE RESPIRATORY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GRISELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-229-2709
Mailing Address - Street 1:1881 LANGLEY AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5623
Mailing Address - Country:US
Mailing Address - Phone:949-398-6555
Mailing Address - Fax:949-398-6557
Practice Address - Street 1:27323 W HARDY RD STE 404
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-2109
Practice Address - Country:US
Practice Address - Phone:949-398-6555
Practice Address - Fax:949-398-6557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNRISE RESPIRATORY CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-26
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies