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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN LOGRONO DIZON

Active

SUSAN LOGRONO DIZON is a 376G00000X healthcare provider located in LOS ANGELES, California. NPI 1740700939 is currently active in the NPPES registry. Verify at CMS.

376G00000X · LOS ANGELES, CA

Registration Details

NPI Number
1740700939
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2017 (9.1727496901821 yrs)
Last Updated
Jul 21, 2022
License
347796 (CA)

Practice Information

Address
1670 E 120TH ST
LOS ANGELES, CA, 900593026
Browse CA providers · Browse ZIP 90059
Phone
4243381104
Primary Specialty
376G00000X
376G00000X

Other 376G00000X Providers in LOS ANGELES, CA

Name Credential NPI
ANITA ANN CHARLOT 1205568581
ELSABETH ARAYA 1144096207
MS. MADELINE FRY X MHA, NHA 1033922059
RONESHA WOODS 1417746751
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.