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Sura Pediatric Specialist, Inc
General Practice Physician in Walnut Park, California
NPI 1578851747

Sura Pediatric Specialist, Inc is a General Practice Physician based in Huntington Park, CA. Sura Pediatric Specialist, Inc practices in Walnut Park, CA. The NPI Number for Sura Pediatric Specialist, Inc is 1578851747 and holds a License No. A30390 (California).

The current practice location address for Sura Pediatric Specialist, Inc is 7400 Pacific Blvd, Walnut Park, CA and can be reached out via phone at 323-584-8881 and via fax at 323-584-8882.

Location: 7400 Pacific Blvd, Walnut Park, CA, 90255-5739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578851747
Provider Name
Sura Pediatric Specialist, Inc
Credential
Provider Entity Type
Organization
Address
7400 Pacific Blvd, Walnut Park, CA, 90255-5739
Phone Number
323-584-8881
Fax Number
323-584-8882
Provider Enumeration Date
07/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7400 Pacific Blvd
City
Walnut Park
State
California
Zip
90255-5739
Phone Number
323-584-8881
Fax Number
323-584-8882
person
Provider Business Mailing Address Details
Address
7400 Pacific Blvd
City
Walnut Park
State
California
Zip
90255-5739
Phone Number
323-584-8881
Fax Number
323-584-8882
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A30390 (California)
Definition
Definition to come...
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