| Suran Ko, LMFT | |
|
520 So. Lafayette Park Place 3rd Floor, La, CA 90057-5400 | |
| (213) 252-2100 | |
| (213) 383-3146 |
| Full Name | Suran Ko |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 520 So. Lafayette Park Place 3rd Floor, La, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548621915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT103990 (California) | Primary |
| Entity Name | Special Service For Groups |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952442949 PECOS PAC ID: 2769396886 Enrollment ID: O20031113000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Suran Ko, LMFT 520 So. Lafayette Park Place 3rd Floor, La, CA 90057-5400 Ph: (213) 252-2100 | Suran Ko, LMFT 520 So. Lafayette Park Place 3rd Floor, La, CA 90057-5400 Ph: (213) 252-2100 |
Szu Ying Wu, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 520 So. Lafayette Park Place 3rd Floor, La, CA 90057 Phone: 213-252-2100 Fax: 213-383-3146 | |
Ms. Rosario Eguino, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4616 Welch Pl #3, La, CA 90027 Phone: 213-924-2096 Fax: 323-668-2472 | |
Anna V Mikhailova, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8220 South San Pedro St, La, CA 90003 Phone: 323-541-1221 | |
Chin Eng Teo, LICENSE MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 520 So. Lafayette Park Place, La, CA 90057 Phone: 213-252-2100 Fax: 213-383-3146 |