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Organization
THE SUE MEDICAL GROUP
Active
Organization
THE SUE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SUE M.D. (PRESIDENT)
(310) 556-2244
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE 1605, LOS ANGELES, CA 90067-2001
(310) 556-2244
(310) 556-4675
Mailing address
2080 CENTURY PARK E, SUITE 1605, LOS ANGELES, CA 90067-2001
(310) 556-2244
(310) 556-4675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G48679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932193893
INDIVIDUAL NPI
CA
Enumeration date
01/02/2013
Last updated
01/02/2013
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