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Dr. Susan Lee Dasta, DO
Family Medicine Physician in Glendale, California
NPI 1851452635

Susan Lee Dasta is a Family Medicine Physician based in Glendale, CA. Susan Lee Dasta practices in Glendale, CA and has the professional credentials of DO. The NPI Number for Susan Lee Dasta is 1851452635 and holds a License No. 2002019232 (California).

The current practice location address for Susan Lee Dasta is 1560 E Chevy Chase Dr, Glendale, CA and can be reached out via phone at 818-246-5900.

Location: 1560 E Chevy Chase Dr, Glendale, CA, 91206-4197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851452635
Provider Name
Susan Lee Dasta
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1560 E Chevy Chase Dr, Glendale, CA, 91206-4197
Phone Number
818-246-5900
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200587160A 05 KS
200587160B 05 KS
208318808 05 MO
1851452635 05 MO
31636039 01 BLUECROSS BLUESHIELD OF KANSAS CITY
institution
Provider Business Practice Location Address Details
Address
1560 E Chevy Chase Dr
City
Glendale
State
California
Zip
91206-4197
Phone Number
818-246-5900
Fax Number
person
Provider Business Mailing Address Details
Address
1560 E Chevy Chase Dr
City
Glendale
State
California
Zip
91206-4197
Phone Number
818-246-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2002019232 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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