Charette, Susan Louise
Charette, Susan Louise is an individual health care provider with primary practice located at 200 Medical Plaza #365, Los Angeles CA 90095-3075. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Charette, Susan Louise can be contacted via phone (310) 206-8272.Contact Information
Primary practice address
200 Medical Plaza #365
Los Angeles CA 90095-3075
Phone: (310) 206-8272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A65322 | California |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A65322 | California |
Profile Details
| NPI number | 1447285341 |
|---|---|
| LBN Legal business name | Charette, Susan Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Feb 8th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447285341 | NPPES |
| California | MEDICAID | 00A653220 |
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