Provider Demographics
NPI:1740802610
Name:SUNRISE RESPIRATORY CARE, INC.
Entity Type:Organization
Organization Name:SUNRISE RESPIRATORY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GRISELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-398-6555
Mailing Address - Street 1:1881 LANGLEY AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5623
Mailing Address - Country:US
Mailing Address - Phone:949-398-6555
Mailing Address - Fax:949-398-6557
Practice Address - Street 1:2050 E LA CADENA DR STE E
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2331
Practice Address - Country:US
Practice Address - Phone:951-870-2030
Practice Address - Fax:951-543-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies