Individual
KENNETH H SUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5901 W OLYMPIC BLVD, SUITE 509, LOS ANGELES, CA 90036-4667
(323) 938-3338
(323) 938-9379
Mailing address
981 N ALTA VISTA, MONROVIA, CA 91016
(213) 307-0151
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3949
CA
Other
Enumeration date
07/11/2006
Last updated
10/23/2008
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