| Peter Sukman Suh, DMD | |
|
1346 Foothill Blvd, Suite 305, La Canada Flintridge, CA 91011 | |
| (818) 790-5959 | |
| (818) 790-6399 |
| Full Name | Peter Sukman Suh |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1346 Foothill Blvd, La Canada Flintridge, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124234752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | CA 42425 (California) | Primary |
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Sukman Suh, DMD 1346 Foothill Blvd, Suite 305, La Canada Flintridge, CA 91011 Ph: (818) 790-5959 | Peter Sukman Suh, DMD 1346 Foothill Blvd, Suite 305, La Canada Flintridge, CA 91011 Ph: (818) 790-5959 |
Narek Akopyan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2220 Foothill Blvd Ste A, La Canada Flintridge, CA 91011 Phone: 818-248-1021 | |
Jaeyoung Lim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Foothill Blvd, La Canada Flintridge, CA 91011 Phone: 818-790-3923 | |
Susanna Avagyan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2220 Foothill Blvd Ste A, La Canada Flintridge, CA 91011 Phone: 818-248-1021 |