# SUNILA FUSTER MD A PROFESSIONAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750628715
- **Authorized official:** DR. SUNILA NANDINI FUSTER M.D. (PRESIDNET)
- **Authorized official phone:** (310) 543-3109

## Contact information

- **Practice address:** 4201 TORRANCE BLVD, STE. 530, TORRANCE, CA 90503-4504
- **Practice address phone:** (310) 543-3109
- **Mailing address:** 4201 TORRANCE BLVD, STE. 530, TORRANCE, CA 90503-4504
- **Mailing address phone:** (310) 543-3109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A36239 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2013
- **Last updated:** 01/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A36239 | CALIFORNIA STATE MEDICAL LICENSE | CA |