Susan Quinn

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC28220 Issued in CA

Legal business name

SUSAN QUINN

Practice address

12011 San Vicente Blvd Ste 402
Los Angeles, CA 90049-4946

Phone

(310) 600-3458

NPI assigned

Jul 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Quinn

Title

Owner

Phone

(310) 600-3458

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1396907325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494946",
            "telephone_number": "310-600-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494946",
            "telephone_number": "310-600-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN QUINN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-600-3458"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan N Fukushima MD Inc
• Susan Pekarovics MD a Professional Corporation
• Susan Schmidt-Lackner a Professional Medical Corporation
• Susana Santiago-Soriano
• Susana Santiago-Soriano MD Inc
• Shriraj Susarla
• Susie H Lau, M.D., a Medical Corporation

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.