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Contact Information

SUSAN CARSON
4650 W SUNSET BLVD
MS #54
LOS ANGELES, CA90027-6062
 Phone: 323-361-2121
 Fax: 323-361-7128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUSAN CARSON · (Female)

NPI # 1386810810
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2008
Last updated 05/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 12739
  • CA License # 544439
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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