Individual
DR. SUSAN V BUKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 16TH ST, SUITE 3142, SANTA MONICA, CA 90404-1249
(424) 259-9816
(424) 259-6591
Mailing address
1250 16TH ST, SUITE 3142, SANTA MONICA, CA 90404-1249
(424) 259-9816
(424) 259-6591
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C55109
CA
Other
Enumeration date
06/10/2006
Last updated
06/11/2012
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