Sutter, Miguel A.

Sutter, Miguel A. is an individual health care provider with primary practice located at 1260 15Th St Ste 1200 , Santa Monica CA 90404-1147. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sutter, Miguel A. can be contacted via phone (310) 794-7700.

Contact Information

Primary practice address
1260 15Th St Ste 1200 Santa Monica CA 90404-1147
Phone: (310) 794-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14764 California

Profile Details

NPI number 1619917903
LBN Legal business name Sutter, Miguel A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 4th, 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 1619917903 NPPES
California MEDICAID 'PA14764
California Other 1039095

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