Individual
JEFFREY A SUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(310) 291-0886
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(310) 291-0886
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G56352
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G56352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G56352
LICENSE NUMBER
CA
Enumeration date
10/20/2009
Last updated
10/20/2009
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