Individual
DR. SUSAN LYNN HARTUNIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 SUPERIOR AVE, SUITE 200-G, NEWPORT BEACH, CA 92663-3663
(949) 769-0309
(949) 443-1434
Mailing address
PO BOX 7793, CAPISTRANO BEACH, CA 92624-7793
(949) 769-0309
(949) 443-1434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G63737
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G637370
MEDICAL
CA
Enumeration date
11/01/2006
Last updated
01/31/2013
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