Individual
MRS. SUSANA CAROLINA CHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7211 VAN NUYS BLVD, VAN NUYS, CA 91405-2256
(818) 988-2722
Mailing address
603 PEARL ST, SAN GABRIEL, CA 91776-2617
(323) 404-2188
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
95012117
CA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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