SUN RAY HOLDING COMPANY, LLC (NPI# 1508227562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508227562 |
| Entity Type | Organization |
| Organization Name | SUN RAY HOLDING COMPANY, LLC |
| Other Organization Name | SUN RAY ADDICTIONS COUNSELING & EDUCATION |
| Practice Address |
31641 Auto Center Dr Room 1 Lake Elsinore CA 92530-4535 |
| Mailing Address |
Po Box 101774 Pasadena CA 91189-1774 |
| Practice Telephone | 7722471782 |
| Practice Fax Number | 7722102758 |
| Mailing Telephone | 7722471428 |
| Mailing Fax Number | 7722105697 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | MR. EDWARD ROUSSEAU (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7722667682 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUN RAY COAST TREATMENT CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sun Ray Addictions Counseling & Education | Doing Business As Name - Organization |
| Street Address |
31641 AUTO CENTER DR ROOM 1 |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811097991 | Anita C Singh | Dentist | 31641 Auto Center Dr, Ste. 2a, Lake Elsinore, CA 92530-4535 | 2006-09-25 |
| 1801153655 | Anita C. Singh, Dds, Inc | Dentist | 31641 Auto Center Dr, 2a, Lake Elsinore, CA 92530-4535 | 2012-04-18 |
| 1912191040 | Charles Ralph Donofrio | Chiropractor | 31641 Auto Center Dr, Suite 1-c, Lake Elsinore, CA 92530-4535 | 2007-08-31 |
| 1689897670 | Joon Hwa Song | Dentist | 31641 Auto Center Dr, Ste.2a, Lake Elsinore, CA 92530-4535 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457489197 | Lasalle Medical Associates | Clinic/Center | 31762 Mission Trail, Suite F, Lake Elsinore, CA 92530 | 2007-03-02 |
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| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.