Susser, Kyle Carter

Susser, Kyle Carter is an individual health care provider with primary practice located at 11600 Eldridge Ave , Lake View Terrace CA 91342-6506. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Susser, Kyle Carter can be contacted via phone (818) 686-3261.

Contact Information

Primary practice address
11600 Eldridge Ave Lake View Terrace CA 91342-6506
Phone: (818) 686-3261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 11972 California

Profile Details

NPI number 1154098952
LBN Legal business name Susser, Kyle Carter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2021
Last updated Sep 29th, 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.

Request for update

Popular Providers