Provider Demographics
NPI:1316407117
Name:SUZUKI, HIROSHI THOMAS (MD, MPH)
Entity Type:Individual
Prefix:
First Name:HIROSHI
Middle Name:THOMAS
Last Name:SUZUKI
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Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD SUITE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-5631
Mailing Address - Country:US
Mailing Address - Phone:310-301-8707
Mailing Address - Fax:310-301-8752
Practice Address - Street 1:501 DEEP VALLEY DR STE 100
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-7606
Practice Address - Country:US
Practice Address - Phone:310-303-3953
Practice Address - Fax:310-303-7903
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA177517207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine