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Individual

MS. MIKA SUGANO-ISA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 W 1ST ST APT 1706, LOS ANGELES, CA 90012-2425
(213) 621-0437
Mailing address
800 W 1ST ST APT 1706, LOS ANGELES, CA 90012-2425
(213) 621-0437

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
931163
CA

Other

Enumeration date
12/08/2010
Last updated
12/08/2010
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