Doctor Name: | DR. SUSAN AUCOTT BALLAGH |
NPI Number: | 1245201201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0101056727 |
Business Practice Address: | 1000 W Carson St # 3 Department Of Obstetrics & Gynecology Torrance, CA - 905022004 |
Business Phone Number: | 3102223544 |
Business Fax Number: | 3107828148 |
Mailing Address: | 1000 W Carson St # 3, Department Of Obstetrics & Gynecology TORRANCE |
State: | CA |
Postal Code: | 905022004 |
Phone Number: | 3102223544 |
Fax Number: | 3107828148 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 08/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 0101056727 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |