Suk, Young A

Suk, Young A is an individual health care provider with primary practice located at 2101 N Waterman Ave , San Bernardino CA 92404-4836. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Suk, Young A can be contacted via phone (909) 883-8711.

Contact Information

Primary practice address
2101 N Waterman Ave San Bernardino CA 92404-4836
Phone: (909) 883-8711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A38542 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A38542 California

Profile Details

NPI number 1992797153
LBN Legal business name Suk, Young A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 31st, 2008 - about 18 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 1992797153 NPPES
California MEDICAID 00A385421

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