Susan K. Boudakian, DO
Pediatrics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982808010
StatusActive
Last updated in NPPESSep 23, 2008
Details
- NPI
- 1982808010
- Entity type
- Individual (NPI-1)
- Name
- Susan K. Boudakian
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2007
- Last updated
- Sep 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 20A6939 | CA | Yes |
Practice location
6041 Cadillac AveLos Angeles, CA 90034-1702
Phone 323-857-2000
Mailing address
6041 Cadillac AveLos Angeles, CA 90034-1702
Phone 323-857-2000
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