Con, Susana
Con, Susana is an sole proprietor health care provider with primary practice located at 850 S Atlantic Blvd Ste 301 , Monterey Park CA 91754-6710. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Con, Susana can be contacted via phone (323) 726-6888.Contact Information
Primary practice address
850 S Atlantic Blvd Ste 301
Monterey Park CA 91754-6710
Phone: (323) 726-6888
Fax: (213) 628-1239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT9656TPA | California |
Profile Details
| NPI number | 1073504551 |
|---|---|
| LBN Legal business name | Con, Susana |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jan 18th, 2022 - about 2 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 | 1073504551 | NPPES |
| California | MEDICAID | SD0096560 |
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