Individual
MICHAEL YOSHIO SUJISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSLD
Contact information
Practice address
150 WEST CARSON STREET, STORE 8839, CARSON, CA 90745
(424) 210-4081
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6054
CA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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