Ehret, Susannah
Ehret, Susannah is an individual health care provider with primary practice located at 8540 S Sepulveda Blvd Suite 818, Los Angeles CA 90045-3807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ehret, Susannah can be contacted via phone (310) 670-3255.Contact Information
Primary practice address
8540 S Sepulveda Blvd Suite 818
Los Angeles CA 90045-3807
Phone: (310) 670-3255
Fax: (310) 531-2325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A68091 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A68091 | California |
Profile Details
| NPI number | 1447251640 |
|---|---|
| LBN Legal business name | Ehret, Susannah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Nov 18th, 2021 - about 3 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 | 1447251640 | NPPES |
| California | MEDICAID | 00A68091A |
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