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NPI Code Detail

MEDICARE: DR. SUSAN ETTA SKLAR M.D.

MEDICARE:  DR. SUSAN ETTA SKLAR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology PhysicianG46856CA

General Provider Information

NPI Number : 1851334585
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN ETTA SKLAR M.D.
Provider Business Mailing Address
First Line : 5318 E 2ND ST STE 403
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5324
Country : US
Telephone Number : 562-245-9027
Fax Number : 562-330-1908
Provider Business Practice Location Address
First Line : 2999 E OCEAN BLVD UNIT 1130
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-8214
Country : US
Telephone Number : 562-245-9027
Fax Number : 562-330-1908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 09/20/2024

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