Search › California › 363A00000X
Piseth Suor, PA
NPI 1699054809 · on the registry since 2011
Practice
- Address
- 4873 West Ln Ste A
Stockton, CA 95210 - Phone
- (209) 472-1515
- Fax
- (209) 472-1651
- Organisation at this address
- Proveri Rx Llc
Hikmat T Fikrat
Valleytech, Inc.
West Lane Clinic Rx Llc
Westlane Medical Clinic,IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-05
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