Haining Su

NPI #1043987563 in Costa Mesa, California

Provider Information

NPI Number: 1043987563
Entity Type: Individual
Name: Haining Su
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 24, 2021
Last Updated: Aug 24, 2021

Practice Location

Address: 1640 NEWPORT BLVD STE 260
City: Costa Mesa
State: California
ZIP Code: 92627-7736
Phone: (949) 335-7967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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