Organization
INNOVATIVE PSYCHIATRIC SERVICES CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL THOMAS SUZUKI MD (MEDICAL DIRECTOR)
(909) 268-5906
Entity
Organization
Contact information
Practice address
1272 CENTER COURT DR STE 104, COVINA, CA 91724-3667
(909) 268-5906
Mailing address
1272 CENTER COURT DR STE 104, COVINA, CA 91724-3667
(909) 268-5906
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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