Individual
DR. SUSAN FIRESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD # 3, LOS ANGELES, CA 90027-6062
(323) 361-8491
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2453
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
G87851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02360974
—
NY
Enumeration date
12/01/2008
Last updated
12/12/2008
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