| Hwan Z. Suk, M.d., Corporation | |
|
1560 E Chevy Chase Dr Ste 240 Glendale CA 91206-4140 | |
| (818) 548-7178 | |
| (818) 548-7187 |
| Full Name | Hwan Z. Suk, M.d., Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1560 E Chevy Chase Dr Ste 240, Glendale, California |
| Authorized Official Name and Position | Letty Marquez (OFFICE MANAGER) |
| Authorized Official Contact | 8185487178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hwan Z. Suk, M.d., Corporation 1560 E Chevy Chase Dr Ste 240 Glendale CA 91206-4140 Ph: (818) 548-7178 | Hwan Z. Suk, M.d., Corporation 1560 E Chevy Chase Dr Ste 240 Glendale CA 91206-4140 Ph: (818) 548-7178 |
| NPI Number | 1730464918 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 03/16/2021 |
| Medicare PECOS PAC ID | 4183632920 |
|---|---|
| Medicare Enrollment ID | O20060405000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730464918 | NPI | - | NPPES |
| A61077 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A61077 (California) | Primary |
| Provider Name | Hwan Z Suk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619902509 PECOS PAC ID: 9032022272 Enrollment ID: I20031112000528 |
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