Detwiler, Susan P
Detwiler, Susan P is an individual health care provider with primary practice located at 7110 Caminito Pepino , La Jolla CA 92037-5721. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Detwiler, Susan P can be contacted via phone (858) 539-7300.Contact Information
Primary practice address
7110 Caminito Pepino
La Jolla CA 92037-5721
Phone: (858) 539-7300
Fax: (858) 539-7305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G75321 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G75321 | California |
Profile Details
| NPI number | 1184656290 |
|---|---|
| LBN Legal business name | Detwiler, Susan P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 28th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184656290 | NPPES |
| California | MEDICAID | 00G753212 | |
| California | Other | 00G753213 | |
| California | Other | 00G753214 | |
| California | Other | 070017499 | |
| California | MEDICAID | LAB25100F |
Popular Providers
-
Miremadi, Arjang K
7702 Ivanhoe Ave , La Jolla CA 92037-4520 -
Brouha, Brook L
7300 Girard Ave Suite 104, La Jolla CA 92037-5138 -
Ecker, Richard I
706 Ne Evans St , Mcminnville OR 97128-3926 -
Honch, John Arthur
1346 Foothill Blvd Ste 203, La Canada CA 91011-2141 -
Clemons, Donald Eugene
1009 North State Of Franklin Access Road , Johnson City TN 37604-3693 -
Hadi, Rouba
10666 N Torrey Pines Rd , La Jolla CA 92037-1027 -
Mccallister, Robert Edward
6920 Parkdale Pl Ste 210, Indianapolis IN 46254-5611 -
Walter, Joseph Franklin
9850 Genesee Ave Suite # 630, La Jolla CA 92037