Organization · Type 2 NPI

Sura Pediatric Specialist, Inc

General Practice Physician · Walnut Park, CA

NPI number 1578851747 Active

Practice location

7400 Pacific Blvd, Suite # B
Walnut Park, CA 90255-5739

Call (323) 584-8881 Map

Fax (323) 584-8882

Mailing address

7400 Walnut Park, Suite # B
Huntington Park, CA 90255-5739

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	A30390 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

10 other providers at this address

Other general practice physician providers in Walnut Park

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NPI record

NPI: 1578851747
Entity type: Organization (Type 2)
Issued: Jul 21, 2011
Last updated: Jul 21, 2011
Status: Active
Subpart: Yes of Multi-Cultural Medical Center, Inc

Other names

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Sura Pediatric Specialist, Inc · doing business as

Authorized official

Mrs. Anjana S Sura, MD
Director
(323) 584-8881

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About NPI 1578851747

Sura Pediatric Specialist, Inc's National Provider Identifier is 1578851747, issued on Jul 21, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Walnut Park, CA. The record was last updated on Jul 21, 2011.