Individual
LAUREN SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5393
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A141253
CA
390200000X
Student in an Organized Health Care Education/Training Program
MDR-6294
HI
Other
Enumeration date
06/05/2012
Last updated
12/03/2021
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