Individual
MISS SUSANNA HOPE KITABJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2450
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1058588
TX
363LP0200X
Pediatric Nurse Practitioner
95012461
CA
Other
Enumeration date
01/19/2020
Last updated
08/30/2022
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