Kenneth Su MD

NPI 1750543351 - Internal Medicine - 207R00000X

NPI Details
NPI 1750543351
Gender Male
Enumeration Date 06/26/2008
Last Updated 07/27/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1 HOAG DR
NEWPORT BEACH CA, 92663-4162, US
Phone (949) 310-7245
Fax (657) 241-7720
Business Location
PO BOX 3589
NEWPORT BEACH CA, 92659-8589, US
Phone (949) 310-7245
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A98233
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According to our database, Kenneth Su MD NPI is 1750543351, taxonomy code is 207R00000X and license number is A98233, license state is located at California. Kenneth Su MD physically located at 1 Hoag Dr, Newport Beach CA, 92663-4162. NPI Number Kenneth Su MD has the Individual type.

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1750543351 NPI number is provided on an as is basis without warranty of any kind. 1750543351 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Su MD are for informational purposes only.