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Search › California › 171M00000X

Susaun Wade

NPI 1598136673 · on the registry since 2015 · sole proprietor

Practice

Address
3200 Motor Ave
Los Angeles, CA 90034
Phone
(310) 836-1223
Fax
(310) 836-3506
Organisation at this address
Vista Del Mar
Vista Del Mar Child And Family Services
Vista Del Mar Child And Family Services
Vista Del Mar Child And Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
539

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2015-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California