Dr. Susan Lauren Rusnack, M.D.
Urology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1790957504
StatusActive
Last updated in NPPESAug 17, 2014
Details
- NPI
- 1790957504
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Lauren Rusnack
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2008
- Last updated
- Aug 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | C128392 | CA | Yes |
| 208800000X | Urology | 236481 | NY |
Practice location
8631 W 3rd StSuite 715e
Los Angeles, CA 90048-5901
Phone 310-278-8330 · Fax 310-278-7595
Mailing address
8631 W 3rd StSuite 715e
Los Angeles, CA 90048-5901
Phone 310-278-8330 · Fax 310-278-7595
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