# SURA PEDIATRIC SPECIALIST, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MULTI-CULTURAL MEDICAL CENTER, INC
- **Other names:** SURA PEDIATRIC SPECIALIST, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578851747
- **Legal business name:** MULTI-CULTURAL MEDICAL CENTER, INC
- **Authorized official:** MRS. ANJANA S SURA M.D. (DIRECTOR)
- **Authorized official phone:** (323) 584-8881

## Contact information

- **Practice address:** 7400 PACIFIC BLVD, SUITE \# B, WALNUT PARK, CA 90255-5739
- **Practice address phone:** (323) 584-8881
- **Practice address fax:** (323) 584-8882
- **Mailing address:** 7400 WALNUT PARK, SUITE \# B, HUNTINGTON PARK, CA 90255-5739
- **Mailing address phone:** (323) 584-8881
- **Mailing address fax:** (323) 584-8882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A30390 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2011
- **Last updated:** 07/21/2011
