Healthcare Provider Details

I. General information

NPI: 1083314918
Provider Name (Legal Business Name): SUSAN JOYCE DEMPSEY RN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUSAN JOYCE DEMPSEY RN, CNS

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ
LOS ANGELES CA
90095-8358
US

IV. Provider business mailing address

2631 SHADY VALLEY LN
LA HABRA CA
90631-3454
US

V. Phone/Fax

Practice location:
  • Phone: 310-592-0435
  • Fax:
Mailing address:
  • Phone: 858-524-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberRN334434
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: