Davis, Susan Stanik
Davis, Susan Stanik is an individual health care provider with primary practice located at 200 Medical Plaza #214,365,530,420,120, Los Angeles CA 90095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Davis, Susan Stanik can be contacted via phone (310) 825-0631.Contact Information
Primary practice address
200 Medical Plaza #214,365,530,420,120
Los Angeles CA 90095
Phone: (310) 825-0631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | G31244 | California |
Profile Details
| NPI number | 1780600841 |
|---|---|
| LBN Legal business name | Davis, Susan Stanik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Mar 29th, 2011 - 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 | 1780600841 | NPPES |
| California | MEDICAID | 00G312440 |
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