Provider Demographics
NPI:1285662932
Name:SUSKIND, DAVIS ALAN (MD)
Entity Type:Individual
Prefix:
First Name:DAVIS
Middle Name:ALAN
Last Name:SUSKIND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8899 UNIVERSITY CENTER LN STE 305A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1021
Mailing Address - Country:US
Mailing Address - Phone:858-453-8899
Mailing Address - Fax:
Practice Address - Street 1:8899 UNIVERSITY CENTER LN STE 305A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1021
Practice Address - Country:US
Practice Address - Phone:858-453-8899
Practice Address - Fax:858-792-9153
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG251722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry