Mrs. Susan Elizabeth Mckim
Emergency Physician
10666 N Torrey Pines Rd
La Jolla
, California 92037-1027
Mrs. Susan Elizabeth Mckim
Emergency Physician
10666 N Torrey Pines Rd
La Jolla
, California 92037-1027
(858) 784-5888
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Mrs. Susan Elizabeth Mckim
- 10170 Sorrento Valley Rd
- San Diego, CA
- Zip : 92121-1604
- Phone : (858) 784-5888
Second Address
- Mrs. Susan Elizabeth Mckim
- 10666 N Torrey Pines Rd
- La Jolla, CA
- Zip : 92037-1027
- Fax : (858) 554-6271
- Phone : (858) 554-8646
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Is Mrs. Susan Elizabeth Mckim a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 25MP00121500 | NJ |
National Provider Identifier
| NPI | 1003817578 |
|---|---|
| Provider Name | Mrs. Susan Elizabeth Mckim |
| First Address | San Diego, CA 92121-1604 |
| Second Address | La Jolla, CA 92037-1027 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 16/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Q45638 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.