Organization
SUSAN M KALLAL, M.D. PHARM.D., A.M.C
Active
Organization
SUSAN M KALLAL, M.D. PHARM.D., A.M.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M KALLAL M.D. (OWNER)
(310) 828-1915
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD STE 901, LOS ANGELES, CA 90024-4000
(310) 828-1915
(310) 443-0474
Mailing address
10921 WILSHIRE BLVD STE 901, LOS ANGELES, CA 90024-4000
(310) 828-1915
(310) 443-0474
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A70271
CA
Other
Enumeration date
11/28/2007
Last updated
04/13/2012
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