Basic Information
Provider Information
NPI: 1831108323
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SUZUKI
FirstName: AKIKO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3129
Address2:  
City: TORRANCE
State: CA
PostalCode: 905103129
CountryCode: US
TelephoneNumber: 3107923914
FaxNumber: 8558984055
Practice Location
Address1: 2325 TORRANCE BLVD
Address2:  
City: TORRANCE
State: CA
PostalCode: 90501
CountryCode: US
TelephoneNumber: 3103265661
FaxNumber: 3103260347
Other Information
ProviderEnumerationDate: 08/05/2006
LastUpdateDate: 08/20/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA96444CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
BS829466701CADEA REGISTRATIONOTHER
A9644401CAMEDICAL BOARD OF CALIFORNOTHER


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