National Provider Identifier Database

SUSAN G PAK, PA – NPI #1366497703
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

SUSAN G PAK, PA
81 HIGHLAND SPRINGS AVE
SUITE 200
BEAUMONT, CA92223
Phone: 951-845-0313
Fax: 909-796-4158
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for SUSAN G PAK

NPI Number 1366497703
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/24/2006
Last updated 07/21/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • CA License #: PA14449
  • CA Medicaid: OPA144490
Hospital affiliation n/a

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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