Provider Demographics
NPI:1518465871
Name:SUNRISE HEALTHCARE
Entity Type:Organization
Organization Name:SUNRISE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-478-3535
Mailing Address - Street 1:18888 US HIGHWAY 18 STE 208
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2315
Mailing Address - Country:US
Mailing Address - Phone:760-478-3535
Mailing Address - Fax:760-478-3536
Practice Address - Street 1:18387 US HIGHWAY 18 STE 4A
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2214
Practice Address - Country:US
Practice Address - Phone:951-224-2607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty