Provider Demographics
NPI:1649981515
Name:SUCHIL, CLAUDIA (PT, DPT)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:SUCHIL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CENTRAL AVE STE C
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-2740
Mailing Address - Country:US
Mailing Address - Phone:951-696-9353
Mailing Address - Fax:
Practice Address - Street 1:30428 HAUN RD STE 810
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-6824
Practice Address - Country:US
Practice Address - Phone:951-723-1866
Practice Address - Fax:951-723-1867
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303364225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist