Provider Demographics
NPI:1457598195
Name:SUNSHINE T C M HEALING CENTER INC
Entity Type:Organization
Organization Name:SUNSHINE T C M HEALING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LIHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-446-3168
Mailing Address - Street 1:650 W DUARTE RD
Mailing Address - Street 2:#168
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7617
Mailing Address - Country:US
Mailing Address - Phone:626-446-3168
Mailing Address - Fax:626-446-8699
Practice Address - Street 1:650 W DUARTE RD
Practice Address - Street 2:#168
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7617
Practice Address - Country:US
Practice Address - Phone:626-446-3168
Practice Address - Fax:626-446-8699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1113
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9016261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center