Sunrise Cosmed, A Medical Corporation
NPI 1679626733ActiveOrganization· Clinic/Center· Van Nuys, CA
Clinic/Center in Van Nuys, California, registered in NPPES in January 2007. The authorized official on file is Azadeh Modaresi, MD, President.
Overview
| NPI | 1679626733 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2007 |
| Last updated in NPPES | Jul 30, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | A70235 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Van Nuys
- 1003820440
- 1013591288
- 1043433584
- 1083539639
- 1184553323
- 1215059522
- 1225849326
- 1235094335
- 1265440010
- 1275320517
- 1326286857
- 1356563753
All 33 Clinic/Center providers in Van Nuys · All Clinic/Center providers in California