Provider Demographics
NPI:1114798949
Name:W SUNSET MEDICAL CLINIC INC
Entity Type:Organization
Organization Name:W SUNSET MEDICAL CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GKARNIK
Authorized Official - Middle Name:
Authorized Official - Last Name:VARNTANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-522-6180
Mailing Address - Street 1:5010 W SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5820
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5010 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5820
Practice Address - Country:US
Practice Address - Phone:323-522-6180
Practice Address - Fax:323-522-6306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care