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
Fax: (213) 628-1239
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073504551 NPPES
California MEDICAID SD0096560

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