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General NPI Number Information
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NPI Number | 1801063300
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Entity Type | Organization
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Legal Business Name | GEORGE U SUYAT MD MPH, INC.
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 2105 BEVERLY BLVD SUITE 131
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City | LOS ANGELES
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State | CA
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Zip | 90057-2216
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Country | US
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Telephone | 213-413-8836
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Fax | 213-413-2616
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Provider Business Mailing Address
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Address Line | 2105 BEVERLY BLVD SUITE 131
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City | LOS ANGELES
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State | CA
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Zip | 90057-2216
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Country | US
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Telephone | 213-413-8836
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Fax | 213-413-2616
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Authorized Official
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Title or Position | PRESIDENT AND SECRETARY
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Name | GEORGE UMAGUING SUYAT
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Credential | MD, MPH
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Telephone | 213-413-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A52106
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License Number State | CA
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