Individual
CHARLES SUHAYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13177 RAMONA BLVD, STE. C, IRWINDALE, CA 91706-3855
(626) 960-4020
Mailing address
800 W 1ST ST, APT #1501, LOS ANGELES, CA 90012-2412
(213) 550-7782
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/13/2012
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