Sura Pediatric Specialist, Inc | |
7400 Pacific Blvd Suite # B Walnut Park CA 90255-5739 | |
(323) 584-8881 | |
(323) 584-8882 |
Full Name | Sura Pediatric Specialist, Inc |
---|---|
Speciality | General Practice |
Location | 7400 Pacific Blvd, Walnut Park, California |
Authorized Official Name and Position | Anjana S Sura (DIRECTOR) |
Authorized Official Contact | 3235848881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sura Pediatric Specialist, Inc 7400 Walnut Park Suite # B Huntington Park CA 90255-5739 Ph: (323) 584-8881 | Sura Pediatric Specialist, Inc 7400 Pacific Blvd Suite # B Walnut Park CA 90255-5739 Ph: (323) 584-8881 |
NPI Number | 1578851747 |
---|---|
Provider Enumeration Date | 07/21/2011 |
Last Update Date | 07/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578851747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A30390 (California) | Primary |
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