Organization
WILLIAM SUTHERLING M.D., A MEDICAL GROUP, INC.
Active
Other names
EPILEPSY AND BRAIN MAPPING PROGRAM, A MEDICAL GROUP, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W. SUTHERLING M.D. (PRESIDENT)
(626) 792-7300
Entity
Organization
Contact information
Practice address
10 CONGRESS ST, SUITE 505, PASADENA, CA 91105-3045
(626) 792-7300
(626) 792-7336
Mailing address
10 CONGRESS ST, SUITE 505, PASADENA, CA 91105-3045
(626) 792-7300
(626) 792-7336
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G45896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100610
—
CA
Enumeration date
07/10/2006
Last updated
06/16/2010
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