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Organization

GEORGE U SUYAT MD MPH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE UMAGUING SUYAT MD, MPH (PRESIDENT AND SECRETARY)
(213) 413-8836
Entity
Organization

Contact information

Practice address
2105 BEVERLY BLVD, SUITE 131, LOS ANGELES, CA 90057-2216
(213) 413-8836
(213) 413-2616
Mailing address
2105 BEVERLY BLVD, SUITE 131, LOS ANGELES, CA 90057-2216
(213) 413-8836
(213) 413-2616

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A52106
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A521060
CA
01
1023047669
INDIVIDUAL NP1
CA
Enumeration date
05/14/2008
Last updated
07/17/2025
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