| Steven H Suchman Md Inc | |
|
77 Rolling Oaks Dr Suite 305 Thousand Oaks CA 91361-1011 | |
| (805) 379-9976 | |
| (805) 379-9975 |
| Full Name | Steven H Suchman Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 77 Rolling Oaks Dr, Thousand Oaks, California |
| Authorized Official Name and Position | Steven H Suchman (PRESIDENT) |
| Authorized Official Contact | 8053799976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven H Suchman Md Inc 77 Rolling Oaks Dr Suite 305 Thousand Oaks CA 91361-1011 Ph: (805) 379-9976 | Steven H Suchman Md Inc 77 Rolling Oaks Dr Suite 305 Thousand Oaks CA 91361-1011 Ph: (805) 379-9976 |
| NPI Number | 1215289848 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 02/09/2013 |
| Medicare PECOS PAC ID | 8820249006 |
|---|---|
| Medicare Enrollment ID | O20121116000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215289848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A64923 (California) | Primary |
| Provider Name | Steven Hershel Suchman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639122351 PECOS PAC ID: 0244355147 Enrollment ID: I20110531000233 |
| Provider Name | Julianne Marie Humason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518517481 PECOS PAC ID: 1658704473 Enrollment ID: I20191210001341 |
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