Provider Demographics
NPI:1558769471
Name:SUNSHINE HEALTH CARE INC.
Entity Type:Organization
Organization Name:SUNSHINE HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLIMENCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-283-5582
Mailing Address - Street 1:4833 N. BLACK CANYON HWY STE#166
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021
Mailing Address - Country:US
Mailing Address - Phone:602-283-5582
Mailing Address - Fax:602-283-5722
Practice Address - Street 1:4833 N. BLACK CANYON HWY STE#166
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021
Practice Address - Country:US
Practice Address - Phone:602-283-5582
Practice Address - Fax:602-283-5722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty