| Sura Pediatric Specialist, Inc | |
|
7400 Pacific Blvd Suite # B Walnut Park CA 90255-5739 | |
| (323) 584-8881 | |
| (323) 584-8882 |
| Full Name | Sura Pediatric Specialist, Inc |
|---|---|
| Speciality | General Practice |
| Location | 7400 Pacific Blvd, Walnut Park, California |
| Authorized Official Name and Position | Anjana S Sura (DIRECTOR) |
| Authorized Official Contact | 3235848881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sura Pediatric Specialist, Inc 7400 Walnut Park Suite # B Huntington Park CA 90255-5739 Ph: (323) 584-8881 | Sura Pediatric Specialist, Inc 7400 Pacific Blvd Suite # B Walnut Park CA 90255-5739 Ph: (323) 584-8881 |
| NPI Number | 1578851747 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578851747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A30390 (California) | Primary |
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