Susan Londerville in Berkeley - Internal Medicine
Susan Londerville - NPI 1760419055
Susan Londerville is a Internal Medicine in Berkeley, California. Susan Londerville practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Susan Londerville is 1760419055. The last update date is 2007-07-08.
Susan Londerville's current location address is 1546 La Loma Ave, Berkeley, California. You can contact this provider via phone number 5108684181. The mailing address for Susan Londerville is 1546 La Loma Ave, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Londerville |
|---|---|
| Address | 1546 La Loma Ave, Berkeley, California |
| Phone Number | 5108684181 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760419055 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1546 La Loma Ave |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947082034 |
| Phone Number | 5108684181 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G71492 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G714920 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Londerville by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Londerville has been assigned the NPI (National Provider Identifier) 1760419055. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Susan Londerville?
The Susan Londerville is physically situated at 1546 La Loma Ave, in the city of Berkeley, state of CA, with the postal code 947082034.
What is Susan Londerville's area of expertise and its corresponding taxonomy classification?
The Susan Londerville's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760419055 to Susan Londerville?
The Centers for Medicare & Medicaid Services originally issued the 1760419055 to Susan Londerville on 2006-06-26.
As of what date were the details related to Susan Londerville most recently updated or revised?
The information pertaining to Susan Londerville, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.