Susanna Ko is a Clinical in Los Angeles, California. Susanna Ko practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susanna Ko is 1992929236. The last update date is 2007-07-08.
Susanna Ko's current location address is 1554 S Sepulveda Blvd, Los Angeles, California. You can contact this provider via phone number 3109499221. The mailing address for Susanna Ko is 1554 S Sepulveda Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanna Ko |
|---|---|
| Address | 1554 S Sepulveda Blvd, Los Angeles, California |
| Phone Number | 3109499221 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1992929236 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1554 S Sepulveda Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900253377 |
| Phone Number | 3109499221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY20183 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Susanna Ko by the Centers for Medicare & Medicaid Services?
The Susanna Ko has been issued the NPI (National Provider Identifier) 1992929236, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susanna Ko?
The Susanna Ko is situated at 1554 S Sepulveda Blvd, in the city of Los Angeles, state of CA, with the zip code 900253377.
What is Susanna Ko's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susanna Ko's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Susanna Ko receive the assignment of its 1992929236 from the Centers for Medicare & Medicaid Services?
The Susanna Ko was issued its 1992929236 by the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information related to Susanna Ko most recently updated or refreshed?
The details pertaining to the Susanna Ko, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.