Individual
DR. SUSAN PEKAROVICS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6360 WILSHIRE BLVD, SUITE 202, LOS ANGELES, CA 90048-5603
(323) 951-4916
(323) 951-4917
Mailing address
6360 WILSHIRE BLVD, SUITE 202, LOS ANGELES, CA 90048-5603
(323) 951-4916
(323) 951-4917
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A56360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A56360
LICENSE NUMBER
CA
01
—
EY179Z
MEDICARE GROUP INDIVIDUAL PTAN
CA
Enumeration date
07/01/2006
Last updated
03/07/2023
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