Kusske, Amy M

Kusske, Amy M is an individual health care provider with primary practice located at 1223 16Th St Ste 3100 , Santa Monica CA 90404-1275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Kusske, Amy M can be contacted via phone (424) 259-8791.

Contact Information

Primary practice address
1223 16Th St Ste 3100 Santa Monica CA 90404-1275
Phone: (424) 259-8791
Fax: (424) 899-7557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G78872 California

Profile Details

NPI number 1598743700
LBN Legal business name Kusske, Amy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Dec 26th, 2019 - about 5 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 1598743700 NPPES
California Other 00G788720 MEDI-CAL PPIN #

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