Susan G Pak is a Physician Assistant in Beaumont, California. Susan G Pak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan G Pak is 1366497703. The last update date is 2016-07-21.
Susan G Pak's current location address is 81 Highland Springs Ave, Beaumont, California. You can contact this provider via phone number 9518450313 and fax number 9097964158. The mailing address for Susan G Pak is 81 Highland Springs Ave, Beaumont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan G Pak |
|---|---|
| Address | 81 Highland Springs Ave, Beaumont, California |
| Phone Number | 9518450313 |
| Fax Number | 9097964158 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1366497703 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2016-07-21 |
Provider Mailing Address Detail
| Address | 81 Highland Springs Ave |
|---|---|
| City | Beaumont |
| State | California (CA) |
| Post Code | 92223 |
| Phone Number | 9518450313 |
| Fax Number | 9097964158 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14449 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPA144490 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan G Pak?
The Susan G Pak has been issued the NPI (National Provider Identifier) 1366497703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Susan G Pak located?
The Susan G Pak is located at 81 Highland Springs Ave, Beaumont, CA 92223.
What is the Susan G Pak's specialty and taxonomy code?
The Susan G Pak's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did Susan G Pak receive its 1366497703 assignment?
The Susan G Pak was assigned its 1366497703 on 2006-05-24, which is the date when this unique identifier was issued to the organization.
When was the information related to Susan G Pak most recently updated or refreshed?
The details pertaining to the Susan G Pak, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-21.