Organization
SUNILA FUSTER MD A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNILA NANDINI FUSTER M.D. (PRESIDNET)
(310) 543-3109
Entity
Organization
Contact information
Practice address
4201 TORRANCE BLVD, STE. 530, TORRANCE, CA 90503-4504
(310) 543-3109
Mailing address
4201 TORRANCE BLVD, STE. 530, TORRANCE, CA 90503-4504
(310) 543-3109
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A36239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A36239
CALIFORNIA STATE MEDICAL LICENSE
CA
Enumeration date
01/11/2013
Last updated
01/11/2013
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