Individual
SUSAN LEE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
8635 W 3RD ST STE 160W, LOS ANGELES, CA 90048-6103
(310) 967-8625
(310) 423-0140
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-8625
(310) 423-0140
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
235992
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
95010328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235992
CNM
CA
01
—
483840
RN
CA
01
—
95010328
WHNP
CA
Enumeration date
01/07/2019
Last updated
01/24/2023
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