Phillips, Susan Alexandra

Phillips, Susan Alexandra is an individual health care provider with primary practice located at 8110 Birmingham Way , San Diego CA 92123-2758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Phillips, Susan Alexandra can be contacted via phone (858) 966-4032.

Contact Information

Primary practice address
8110 Birmingham Way San Diego CA 92123-2758
Phone: (858) 966-4032
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X G85921 California

Profile Details

NPI number 1588735336
LBN Legal business name Phillips, Susan Alexandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 25th, 2011 - about 13 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 1588735336 NPPES
California MEDICAID 00G859210

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