institution
George Umaguing Suyat, Md, Inc.
Primary Care Clinic/Center in Los Angeles, California
NPI 1801063300

George Umaguing Suyat, Md, Inc. is a Primary Care Clinic/Center based in Los Angeles, CA and is specialized in Primary Care. George Umaguing Suyat, Md, Inc. practices in Los Angeles, CA. The NPI Number for George Umaguing Suyat, Md, Inc. is 1801063300 and holds a License No. A52106 (California).

The current practice location address for George Umaguing Suyat, Md, Inc. is 2105 Beverly Blvd, Los Angeles, CA and can be reached out via phone at 213-413-8836 and via fax at 213-413-2616.

Location: 2105 Beverly Blvd, Los Angeles, CA, 90057-2216
institution
Provider Profile Details
NPI Number
1801063300
Provider Name
George Umaguing Suyat, Md, Inc.
Credential
Provider Entity Type
Organization
Address
2105 Beverly Blvd, Los Angeles, CA, 90057-2216
Phone Number
213-413-8836
Fax Number
213-413-2616
Provider Enumeration Date
05/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A521060 05 CA
1023047669 01 CA INDIVIDUAL NP1
institution
Provider Business Practice Location Address Details
Address
2105 Beverly Blvd
City
State
Zip
90057-2216
Phone Number
213-413-8836
Fax Number
213-413-2616
person
Provider Business Mailing Address Details
Address
2105 Beverly Blvd
City
State
Zip
90057-2216
Phone Number
213-413-8836
Fax Number
213-413-2616
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A52106 (California)
Definition
Definition to come...
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