Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan M Kallal, MD Pharm D , A.m.c

Organization Dermatology Physician · NPI 1174705560

Susan M Kallal, MD Pharm D , A.m.c is a Dermatology Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

10921 Wilshire Blvd Ste 901
Los Angeles, CA 90024-4000
Phone: (310) 828-1915
Fax: (310) 443-0474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A70271 (CA)

Record details

NPI number1174705560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kallal — Owner · (310) 828-1915
NPI enumeratedNovember 28, 2007
Last updated in NPPESApril 13, 2012
Mailing address10921 Wilshire Blvd Ste 901, Los Angeles, CA 90024-4000

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