Provider Demographics
NPI:1871172361
Name:ARASHEBEN, SUZAN PRINCESS (PA-C)
Entity type:Individual
Prefix:
First Name:SUZAN
Middle Name:PRINCESS
Last Name:ARASHEBEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8635 W 3RD ST STE 590W
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-6163
Mailing Address - Country:US
Mailing Address - Phone:310-423-1220
Mailing Address - Fax:310-423-1230
Practice Address - Street 1:8635 W 3RD ST STE 590W
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-6163
Practice Address - Country:US
Practice Address - Phone:310-423-1220
Practice Address - Fax:310-423-1230
Is Sole Proprietor?:No
Enumeration Date:2021-04-03
Last Update Date:2021-07-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant