Dr SUSAN BANUELOS is a female medical professional, specializing in Emergency Medicine. She graduated in 2014.
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALDWIN PARK BLVD
BALDWIN PARK
CA
917065806
Tel:
| Npi | 1194136275 |
| Pac Id | 9830441948 |
| Professional Enrollment Id | I20181017002088 |
| Last Name | BANUELOS |
| First Name | SUSAN |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
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| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Group Practice Pac Id | 6002729175 |
| Number Of Group Practice Members | 8118 |
| Line 1 Street Address | 1011 BALDWIN PARK BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BALDWIN PARK |
| State | CA |
| Zip Code | 917065806 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 050723 |
| Hospital Affiliation Lbn 1 | KAISER FOUNDATION HOSPITAL - BALDWIN PARK |
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| Professional Accepts Medicare Assignment | Y |
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