MORDO SUCHOV MD INC (NPI# 1306073994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306073994 |
| Entity Type | Organization |
| Organization Name | MORDO SUCHOV MD INC |
| Practice Address |
16260 Ventura Blvd Suite Ll-15 Encino CA 91436-2203 |
| Practice Telephone | 8189051567 |
| Practice Fax Number | 8189057406 |
| Mailing Telephone | 8189051567 |
| Mailing Fax Number | 8189057406 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-07-26 |
| Authorized Official Name | DR. MORDO SUCHOV (PRESIDENT) |
| Authorized Official Telephone | 8189051567 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A39778 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
16260 VENTURA BLVD SUITE LL-15 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254659 | Advanced Sleep Medicine Services Inc | Clinic/Center | 16260 Ventura Blvd, Suite 700, Encino, CA 91436-2203 | 2005-09-02 |
| 1003452863 | Gelbert G De Guzman | Occupational Therapy Assistant | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2019-11-26 |
| 1700376571 | Ardeshir Pooshpas | Nurse Practitioner | 16260 Ventura Blvd, Encino, CA 91436 | 2018-05-16 |
| 1497270987 | Anastasia Andrew | Family Medicine | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2017-08-07 |
| 1487101069 | Great Beginnings Surgery Center LLC | Clinic/Center | 16260 Ventura Blvd, Suite 220, Encino, CA 91436 | 2016-09-01 |
| 1205287364 | Western Fertility Institute, LLC | Specialist | 16260 Ventura Blvd, 210, Encino, CA 91436-2203 | 2016-06-29 |
| 1841640083 | South Pacific Rehab Services | Skilled Nursing Facility | 16260 Ventura Blvd, Suite 60, Encino, CA 91436-2203 | 2016-06-19 |
| 1982052684 | Lia Gedamu | Nurse Practitioner | 16260 Ventura Blvd, Ll-15, Encino, CA 91436-2203 | 2016-06-03 |
| 1477917375 | Felecia Brown | Occupational Therapist | 16260 Ventura Blvd, 600, Encino, CA 91436-2203 | 2016-04-07 |
| 1548621709 | Sara Hoffman | Occupational Therapist | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1801119516 | Melvin Schapiro | Internal Medicine | 5311 Aldea Ave, Encino, CA 91316 | 2010-03-09 |
| 1124258850 | Paul H. Key Md, A Medical Corporation | Internal Medicine | 5805 White Oak Ave, #18601, Encino, CA 91416-5001 | 2009-07-15 |
| 1053580241 | Efrat Z. Lobel, M.d. A Professional Corp | Internal Medicine | 16311 Ventura Blvd Ste 1255, Encino, CA 91436-4363 | 2008-02-21 |
| 1346200730 | Kenneth L Buch | Internal Medicine | 16311 Ventrua Boulvard, Suite 775, Encino, CA 91436 | 2006-03-28 |
| 1760647283 | Fredric E Weiss Inc | Internal Medicine | 16311 Ventura Blvd, 1175, Encino, CA 91436-4359 | 2008-07-24 |
| 1336354059 | Fredric E. Weiss | Internal Medicine | 16311 Ventura Blvd, Suite #1175, Encino, CA 91436-2124 | 2007-05-14 |
| 1497719512 | Michael Shiffman | Internal Medicine | 16311 Ventrua Boulvard, Suite 775, Encino, CA 91436 | 2006-04-14 |
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| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
| 1649752148 | Sara Kranke | Internal Medicine | 1822 W 244th St, Torrance, CA 90501-6711 | 2018-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.