Zachariah, Susan
Zachariah, Susan is an individual health care provider with primary practice located at 24551 Raymond Way Ste 140, Lake Forest CA 92630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Zachariah, Susan can be contacted via phone (949) 583-0975.Contact Information
Primary practice address
24551 Raymond Way Ste 140
Lake Forest CA 92630
Phone: (949) 583-0975
Fax: (949) 583-7973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | CAA042724 | California |
Profile Details
| NPI number | 1336256585 |
|---|---|
| LBN Legal business name | Zachariah, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1336256585 | NPPES |
| California | MEDICAID | 00A427241 |
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