Individual
DR. JEFFREY D SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, SUITE 550, LOS ANGELES, CA 90095-0001
(310) 206-6688
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A91735
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A91735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A917350
—
CA
Enumeration date
12/01/2008
Last updated
11/17/2010
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