Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 042784 | CT |
Y | 207K00000X | Allergist & Immunologist | C143748 | CA |
N | 207R00000X | Internist | 37605 | IA |
N | 111NI0900X | Internist | 37605 | IA |
N | 207RA0201X | Internist - Allergy & Immunology | 37605 | IA |
NPI | 1316164015 |
---|---|
Provider Name | Dr. Suzanne Cassel |
First Address | West Hollywood, CA 90048-1804 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 13/05/2021 |