Provider Demographics
NPI:1124440060
Name:GOY, SUSANA GYEK (DC DOCTOR OF CHIRO)
Entity type:Individual
Prefix:MS
First Name:SUSANA
Middle Name:GYEK
Last Name:GOY
Suffix:
Gender:F
Credentials:DC DOCTOR OF CHIRO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11123 LONG BEACH BLVD. SUITE 5
Mailing Address - Street 2:LYNWOOD HEALTH CENTER
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262
Mailing Address - Country:US
Mailing Address - Phone:310-604-6940
Mailing Address - Fax:310-604-6996
Practice Address - Street 1:11123 LONG BEACH BLVD. SUITE 5
Practice Address - Street 2:LYNWOOD HEALTH CENTER
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262
Practice Address - Country:US
Practice Address - Phone:310-604-6940
Practice Address - Fax:310-604-6996
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC28668111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor