Individual
ALWYN TEANO SUMABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 N EUCLID ST, SUITE 107, ANAHEIM, CA 92801-4122
(714) 533-4511
(714) 517-2110
Mailing address
710 N EUCLID ST, SUITE 107, ANAHEIM, CA 92801-4122
(714) 533-4511
(714) 517-2110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A86384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A863840
—
CA
Enumeration date
10/18/2006
Last updated
03/27/2023
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