Ark, Sura P.

Ark, Sura P. is an sole proprietor health care provider with primary practice located at 1610 W Edinger Ave.,#B , Santa Ana CA 92704-4309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ark, Sura P. can be contacted via phone (714) 641-1610.

Contact Information

Primary practice address
1610 W Edinger Ave.,#B Santa Ana CA 92704-4309
Phone: (714) 641-1610
Fax: (714) 641-1146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A30895 California

Profile Details

NPI number 1285696021
LBN Legal business name Ark, Sura P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285696021 NPPES
California MEDICAID 00A308950

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