Healthcare Provider Details

I. General information

NPI: 1528779907
Provider Name (Legal Business Name): SUSAN LAWTON HARTMANN BILLING SPECIALIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6145 IMPERIAL AVE
SAN DIEGO CA
92114-4213
US

IV. Provider business mailing address

6145 IMPERIAL AVE
SAN DIEGO CA
92114-4213
US

V. Phone/Fax

Practice location:
  • Phone: 619-234-8888
  • Fax: 619-234-7787
Mailing address:
  • Phone: 619-234-8888
  • Fax: 619-234-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: