Provider Demographics
NPI:1548133762
Name:SUNNY ISLES VENTURES LLC
Entity type:Organization
Organization Name:SUNNY ISLES VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VEKSLER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:310-422-9480
Mailing Address - Street 1:2639 W AVENUE K4
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-5369
Mailing Address - Country:US
Mailing Address - Phone:661-579-9805
Mailing Address - Fax:661-418-6510
Practice Address - Street 1:2639 W AVENUE K4
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-5369
Practice Address - Country:US
Practice Address - Phone:661-579-9805
Practice Address - Fax:661-418-6510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder