Individual
DR. SUSAN MANSOURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 PESETAS LN, SANTA BARBARA, CA 93110-1416
(805) 681-7500
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(056) 811-7608
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
53722
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2017
Last updated
10/10/2022
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