Provider Demographics
NPI:1679046296
Name:DR. KAZUO SUZUKI MEDICAL CORP.
Entity Type:Organization
Organization Name:DR. KAZUO SUZUKI MEDICAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAZUO
Authorized Official - Middle Name:
Authorized Official - Last Name:SUZUKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:818-309-6868
Mailing Address - Street 1:50 N LA CIENEGA BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2241
Mailing Address - Country:US
Mailing Address - Phone:310-926-1793
Mailing Address - Fax:
Practice Address - Street 1:50 N LA CIENEGA BLVD STE 310
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2241
Practice Address - Country:US
Practice Address - Phone:310-926-1793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric