NPI | 1508178930 |
---|---|
Doing Business As | SUCGANG FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | PAUL SUCGANG Owner 626-389-8448 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9629) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2011-01-11 |