Individual
DR. KATIE SUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9201 W SUNSET BLVD # GF1A, LOS ANGELES, CA 90069-3701
(310) 276-6772
Mailing address
2335 S BENTLEY AVE APT 305, LOS ANGELES, CA 90064-5520
(310) 765-0684
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
34323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34323
STATE BOARD OF CHIROPRACTIC
CA
Enumeration date
11/20/2018
Last updated
11/20/2018
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