Provider Demographics
NPI:1154587855
Name:YUSUNG, SUSY ANN (MD)
Entity type:Individual
Prefix:DR
First Name:SUSY
Middle Name:ANN
Last Name:YUSUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W. CARSON STREET
Mailing Address - Street 2:HARBOR-UCLA MEDICAL CENTER DEPARTMENT OF PEDIATRICS
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90509
Mailing Address - Country:US
Mailing Address - Phone:310-222-4175
Mailing Address - Fax:
Practice Address - Street 1:1000 W. CARSON STREET
Practice Address - Street 2:BOX 17 HARBOR-UCLA MEDICAL CENTER
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90509
Practice Address - Country:US
Practice Address - Phone:310-222-4175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112361208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics