Provider Demographics
NPI:1578566816
Name:SUNNY HILLS ORTHOPEDIC SERVICES INC.
Entity Type:Organization
Organization Name:SUNNY HILLS ORTHOPEDIC SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:714-738-4769
Mailing Address - Street 1:332 E COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2017
Mailing Address - Country:US
Mailing Address - Phone:714-738-4769
Mailing Address - Fax:714-871-4816
Practice Address - Street 1:332 E COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2017
Practice Address - Country:US
Practice Address - Phone:714-738-4769
Practice Address - Fax:714-871-4816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC1110698OtherCORPORATE NUMBER
CAGFC000140Medicaid
CA0345800001Medicare NSC