Organization
SUSAN E SPRAU MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN SPRAU M.D. (PRESIDENT)
(310) 453-3989
Entity
Organization
Contact information
Practice address
200 UCLA MEDICAL PLZ, SUITE B265-29, LOS ANGELES, CA 90095-8344
(310) 453-3989
(310) 453-2154
Mailing address
PO BOX 280655, NORTHRIDGE, CA 91328-0655
(310) 453-3989
(310) 453-2154
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G44652
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G446520
—
CA
01
—
1265469894
NPI
CA
01
—
1801088117
NPI
—
01
—
1992788426
NPI
CA
Enumeration date
08/10/2007
Last updated
09/24/2015
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