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Organization
SHELLEY SUSMAN, M.D., INC.
Active
Organization
SHELLEY SUSMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY SUSMAN (PRESIDENT/CEO)
(818) 757-2222
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD, SUITE 100, TARZANA, CA 91356-2804
(818) 757-2222
(818) 881-7973
Mailing address
10445 WILSHIRE BLVD, LOS ANGELES, CA 90024-4634
(310) 471-4568
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C41775
CA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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