Individual
DR. TIM RUKSA KUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4910 VAN NUYS BLVD, SUITE 201, SHERMAN OAKS, CA 91403-1879
(626) 419-6842
(323) 550-1530
Mailing address
4910 VAN NUYS BLVD, SUITE 201, SHERMAN OAKS, CA 91403-1879
(626) 419-6842
(323) 550-1530
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A40625
CA
Other
Enumeration date
07/02/2006
Last updated
03/26/2013
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