Most Relevant Information
Provider Data
| NPI Number: | 1003227653 |
| Provider Name: | SUEJIN AN LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT103640 |
Most Important Dates
| Enumeration Date: | 05/16/2014 |
| Last Updated: | 12/11/2020 |
Provider Practice Location
520 S LA FAYETTE PARK PL FL 3
LOS ANGELES
CA
900571607
Practice Location Phone/Fax
| Phone: | 2132522100 |
| Fax: | 2133833146 |
Provider Mailing Location
520 S LAFAYETTE PARK PLACE
3RD FLOOR
LOS ANGELES
CA
90057
Provider Mailing Phone/Fax
| Phone: | 2132522100 |
| Fax: | 2133833146 |