Healthcare Provider Details

I. General information

NPI: 1740406628
Provider Name (Legal Business Name): SHUICHI SUZUKI, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 N 1ST AVE SUITE A
ARCADIA CA
91006-7401
US

IV. Provider business mailing address

8 VERNAL SPG
IRVINE CA
92603-0405
US

V. Phone/Fax

Practice location:
  • Phone: 626-566-2860
  • Fax: 626-566-2850
Mailing address:
  • Phone: 714-943-3788
  • Fax: 714-943-3788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084D0003X
TaxonomyDiagnostic Neuroimaging (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: SHUICHI SUZUKI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-943-3788