Organization
ROY I. SUGASAWARA, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY ISAO SUGASAWARA MD (PRESIDENT)
(805) 484-7967
Entity
Organization
Contact information
Practice address
360 MOBIL AVE STE 116, CAMARILLO, CA 93010-6357
(805) 484-7967
(805) 389-0057
Mailing address
360 MOBIL AVE, #116, CAMARILLO, CA 93010-6357
(805) 484-7967
(805) 389-0057
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G55934
CA
Other
Enumeration date
04/13/2007
Last updated
03/13/2015
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