Suh, Nina Gloria

Suh, Nina Gloria is an individual health care provider with primary practice located at 18564 Us Highway 18 Ste 103104 , Apple Valley CA 92307-2312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Suh, Nina Gloria can be contacted via phone (760) 242-9262.

Contact Information

Primary practice address
18564 Us Highway 18 Ste 103104 Apple Valley CA 92307-2312
Phone: (760) 242-9262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 20596 California

Profile Details

NPI number 1104152966
LBN Legal business name Suh, Nina Gloria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2009
Last updated Nov 7th, 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 1104152966 NPPES
California Other 20506 PHYSICIAN ASSISTANT LICENSE NUMBER

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