Healthcare Provider Details

I. General information

NPI: 1326382953
Provider Name (Legal Business Name): SUE DOWNING DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 S SEPULVEDA BLVD
LOS ANGELES CA
90025-3311
US

IV. Provider business mailing address

1535 S SEPULVEDA BLVD
LOS ANGELES CA
90025-3311
US

V. Phone/Fax

Practice location:
  • Phone: 310-473-5906
  • Fax: 310-479-8778
Mailing address:
  • Phone: 310-473-5906
  • Fax: 310-479-8778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number11849
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: