Organization · Type 2 NPI

S M Multispecialty Medical Corporation

Family Medicine Physician · Tustin, CA

NPI number 1104960749 Active

Practice location

2492 Walnut Ave, Suite 110
Tustin, CA 92780-6953

Call (714) 669-1997 Map

Fax (714) 573-7424

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	A37744 (CA)
Orthopaedic Surgery Physician	207X00000X	20A8503 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

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NPI record

NPI: 1104960749
Entity type: Organization (Type 2)
Issued: Feb 16, 2007
Last updated: Oct 17, 2022
Status: Active

Other names

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Sunrise Multi-Specialty Medical Group · doing business as
Sunrise Multi-Specialty Medical Group · doing business as

Authorized official

Sunil Mapara
President
(714) 970-0911

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104960749

S M Multispecialty Medical Corporation's National Provider Identifier is 1104960749, issued on Feb 16, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tustin, CA. The record was last updated on Oct 17, 2022.