Provider Demographics
NPI:1558897389
Name:SUNMED HEALTH AND WEIGHT MANAGEMENT A PROFESSIONAL MED CORP
Entity Type:Organization
Organization Name:SUNMED HEALTH AND WEIGHT MANAGEMENT A PROFESSIONAL MED CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:GUERRERO
Authorized Official - Last Name:SUNIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-625-2597
Mailing Address - Street 1:5834 W EVERGREEN CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-5534
Mailing Address - Country:US
Mailing Address - Phone:559-625-2597
Mailing Address - Fax:844-605-4191
Practice Address - Street 1:5510 W DE LAS ROBLES
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5345
Practice Address - Country:US
Practice Address - Phone:559-607-3470
Practice Address - Fax:844-605-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73666261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care