Individual
DAVID SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5672
Mailing address
831 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4613
(714) 533-2273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A17533
CA
208D00000X
General Practice Physician
036179516
IL
208D00000X
General Practice Physician
Primary
20A17533
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2017
Last updated
07/12/2026
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