Organization · Type 2 NPI

Sun Ray Holding Company, LLC

Multi-Specialty Clinic/Center · Lake Elsinore, CA

NPI number 1508227562 Active

Practice location

31641 Auto Center Dr, Room 1
Lake Elsinore, CA 92530-4535

Call (772) 247-1782 Map

Fax (772) 210-2758

Mailing address

PO Box 101774
Pasadena, CA 91189-1774

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

3 other providers at this address

Other multi-specialty clinic/center providers in Lake Elsinore

Lasalle Medical AssociatesMulti-Specialty Clinic/Center Lake Elsinore, CA NPI 1457489197

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NPI record

NPI: 1508227562
Entity type: Organization (Type 2)
Issued: Mar 17, 2016
Last updated: Oct 9, 2018
Status: Active
Subpart: Yes of Sun Ray Coast Treatment Center LLC

Other names

<unavail>
Sun Ray Addictions Counseling & Education · doing business as
Sun Ray Addictions Counseling & Education · doing business as

Authorized official

Mr. Edward Rousseau
Chief Administrative Officer
(772) 266-7682

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About NPI 1508227562

Sun Ray Holding Company, LLC's National Provider Identifier is 1508227562, issued on Mar 17, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Lake Elsinore, CA. The record was last updated on Oct 9, 2018.