Organization
SUSAN DEBIN MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOTTIE ROGERS (MANAGER)
(714) 223-0883
Entity
Organization
Contact information
Practice address
1234 W CHAPMAN AVE STE 101, ORANGE, CA 92868-2862
(714) 532-6713
(714) 532-1169
Mailing address
1234 W CHAPMAN AVE STE 101, ORANGE, CA 92868-2862
(714) 532-6713
(714) 532-1169
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
G46297
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
G46297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN4721
RAILROAD MEDICARE PTAN
CA
Enumeration date
10/12/2007
Last updated
11/04/2010
Update your record
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