Basic Information
| Provider Information | |||||||||
| NPI: | 1245675271 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HASHEMI | ||||||||
| FirstName: | SUZAN | ||||||||
| MiddleName: | |||||||||
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| Credential: | L.AC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 VERANO | ||||||||
| Address2: | |||||||||
| City: | FOOTHILL RANCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926101827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497023344 | ||||||||
| FaxNumber: | 9498597808 | ||||||||
| Practice Location | |||||||||
| Address1: | 26740 TOWNE CENTRE DR | ||||||||
| Address2: | |||||||||
| City: | FOOTHILL RANCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926102839 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495889293 | ||||||||
| FaxNumber: | 9495880409 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2013 | ||||||||
| LastUpdateDate: | 02/03/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | AC15385 | CA | Y | Other Service Providers | Acupuncturist |
No ID Information.