Individual
DR. DAVID KUZO SUGIYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A130684
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2012
Last updated
11/30/2021
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