Individual
SUSAN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD, MS #54, LOS ANGELES, CA 90027-6062
(323) 361-2121
(323) 361-7128
Mailing address
3701 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
544439
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
12739
CA
Other
Enumeration date
05/05/2008
Last updated
05/24/2017
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