# ANJANA S SURA M.D. INC.

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

## Provider details

- **NPI number:** 1902186943
- **Authorized official:** DR. ANJANA S SURA MD (OWNER)
- **Authorized official phone:** (323) 726-2255

## Contact information

- **Practice address:** 1336 W WHITTIER BLVD, MONTEBELLO, CA 90640-4601
- **Practice address phone:** (323) 459-3878
- **Mailing address:** 714 HAMPTON RD, ARCADIA, CA 91006-2003
- **Mailing address phone:** (323) 459-3878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | A30390 | CA | Yes |

## Other

- **Enumeration date:** 08/23/2011
- **Last updated:** 03/03/2016