Keisner, Susan A

Keisner, Susan A is an individual health care provider with primary practice located at 3401 W. Sunflower Ave. Suite 250, Santa Ana CA 92704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Keisner, Susan A can be contacted via phone (714) 619-8777.

Contact Information

Primary practice address
3401 W. Sunflower Ave. Suite 250 Santa Ana CA 92704
Phone: (714) 619-8777
Fax: (714) 619-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C41820 California

Profile Details

NPI number 1417954793
LBN Legal business name Keisner, Susan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated May 7th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417954793 NPPES
California Other 00C418200 MEDI CAL

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