Suchov, Mordo
Suchov, Mordo is an sole proprietor health care provider with primary practice located at 850 S Atlantic Blvd Ste 202 , Monterey Park CA 91754-6706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Suchov, Mordo can be contacted via phone (213) 483-4500.Contact Information
Primary practice address
850 S Atlantic Blvd Ste 202
Monterey Park CA 91754-6706
Phone: (213) 483-4500
Fax: (213) 483-4522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A39778 | California |
Profile Details
| NPI number | 1609941301 |
|---|---|
| LBN Legal business name | Suchov, Mordo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | May 8th, 2023 - about 3 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 | 1609941301 | NPPES |
| California | MEDICAID | SUR01185F | |
| California | MEDICAID | GR0064560 |
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