Monica Su MD INC

NPI #1881074300 in Newbury Park, California

Provider Information

NPI Number: 1881074300
Entity Type: Organization
Organization Name: Monica Su MD INC
Primary Specialty: General Practice
Enumeration Date: Jun 1, 2015
Last Updated: Aug 31, 2015

Practice Location

Address: 1000 NEWBURY RD
Address 2: STE 115
City: Newbury Park
State: California
ZIP Code: 91320-6435
Phone: (805) 375-1633

Authorized Official

Name: LISA ANN VANESSEN
Title: INSURANCE ADMINISTRATOR
Phone: (805) 955-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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