Susan Carson, is a
Nurse Practitioner - Pediatrics physician based in Los Angeles, California. Susan Carson is licensed to practice in California (license number 12739) and her current practice location is 4650 W Sunset Blvd, Ms #54, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 361-2121.
NPI number for Susan Carson is 1386810810 and her current mailing address is 3701 Wilshire Blvd, Suite 600, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386810810.
Physician's Profile
| Full Name | Susan Carson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 4650 W Sunset Blvd, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386810810
- Provider Enumeration Date: 05/05/2008
- Last Update Date: 05/24/2017
Medical Identifiers
Medical identifiers for Susan Carson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386810810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 544439 (California) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 12739 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Carson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Carson,
3701 Wilshire Blvd, Suite 600,
Los Angeles, CA 90010-2814
Ph: (323) 361-3550 | Susan Carson,
4650 W Sunset Blvd, Ms #54,
Los Angeles, CA 90027-6062
Ph: (323) 361-2121 |
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