Provider Demographics
NPI:1497140511
Name:RED SUN THERAPEUTICS, INC.
Entity Type:Organization
Organization Name:RED SUN THERAPEUTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:Z
Authorized Official - Last Name:ATAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-575-7927
Mailing Address - Street 1:2244 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE #107
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717
Mailing Address - Country:US
Mailing Address - Phone:510-575-7927
Mailing Address - Fax:
Practice Address - Street 1:2244 PACIFIC COAST HWY
Practice Address - Street 2:SUITE #107
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717
Practice Address - Country:US
Practice Address - Phone:510-575-7927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13714171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty