Provider Demographics
NPI:1851307797
Name:HANDLER, SUZANNE P (MD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:P
Last Name:HANDLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3969 4TH AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3165
Mailing Address - Country:US
Mailing Address - Phone:619-356-2843
Mailing Address - Fax:619-291-0049
Practice Address - Street 1:3969 4TH AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3165
Practice Address - Country:US
Practice Address - Phone:619-356-2843
Practice Address - Fax:619-291-0049
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2012-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA69070207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A690700Medicaid
CAH06162Medicare UPIN
CA00A690700Medicaid