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Organization
LAKE FRONT WOUND CARE
Active
Organization
LAKE FRONT WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNY SU MD (MD)
(702) 338-9500
Entity
Organization
Contact information
Practice address
31501 RANCHO VIEJO RD STE 102, SAN JUAN CAPISTRANO, CA 92675-1870
(702) 344-4996
(702) 240-6545
Mailing address
2451 PROFESSIONAL CT STE 180, LAS VEGAS, NV 89128-0827
(702) 344-4996
(702) 240-6545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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