SUSAN M KALLAL, M.D. PHARM.D., A.M.C
NPI 1174705560
Dermatology in Los Angeles, CA

Active since November 28, 2007
10921 WILSHIRE BLVD STE 901, LOS ANGELES, CA 90024(310) 828-1915(310) 443-0474 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Susan M Kallal, M.d. Pharm.d., A.m.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN M KALLAL, M.D. PHARM.D., A.M.C (NPI 1174705560) is a healthcare organization registered as a dermatology in Los Angeles, California and active in the NPI registry since November 2007. The organization lists Susan M Kallal, Owner, as its authorized official.

NPPES Registry Identity

NPI1174705560
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUSAN M KALLAL, M.D. PHARM.D., A.M.C
Location Address10921 WILSHIRE BLVD STE 901Los Angeles, CA 90024-4000
Mailing Address10921 Wilshire Blvd Ste 901Los Angeles, CA 90024-4000 · (310) 828-1915 · Fax (310) 443-0474
Fax(310) 443-0474
Organization SubpartNo
Authorized OfficialSusan M KallalOwner · (310) 828-1915
Enumeration DateNovember 28, 2007
Last NPPES UpdateApril 13, 2012
NPI 1174705560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A70271
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10921 WILSHIRE BLVD STE 901, Los Angeles, CA 90024

Other Identifiers 1

Medicare PINW19750CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
10921 WILSHIRE BLVD STE 901
LOS ANGELES, CA 90024
Psychologist (Counseling)
10921 WILSHIRE BLVD STE 901
LOS ANGELES, CA 90024
Psychologist (Cognitive & Behavioral)
10921 WILSHIRE BLVD STE 901
LOS ANGELES, CA 90024
Psychologist (Clinical)
10921 WILSHIRE BLVD STE 901
LOS ANGELES, CA 90024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan M Kallal, M.D. Pharm.D., A.M.C's NPI number?

The NPI number for Susan M Kallal, M.D. Pharm.D., A.M.C is 1174705560. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Susan M Kallal, M.D. Pharm.D., A.M.C located?

Susan M Kallal, M.D. Pharm.D., A.M.C is located at 10921 Wilshire Blvd Ste 901, Los Angeles, CA 90024. The listed phone number is (310) 828-1915.

What is Susan M Kallal, M.D. Pharm.D., A.M.C's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Susan M Kallal, M.D. Pharm.D., A.M.C was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.