Provider Demographics
NPI:1740406628
Name:SHUICHI SUZUKI, M.D., INC.
Entity type:Organization
Organization Name:SHUICHI SUZUKI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHUICHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUZUKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-943-3788
Mailing Address - Street 1:8 VERNAL SPG
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-0405
Mailing Address - Country:US
Mailing Address - Phone:714-943-3788
Mailing Address - Fax:714-943-3788
Practice Address - Street 1:1015 N 1ST AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-7401
Practice Address - Country:US
Practice Address - Phone:626-566-2860
Practice Address - Fax:626-566-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic NeuroimagingGroup - Single Specialty