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Organization
FREDERICA NINA SU
Active
Organization
FREDERICA NINA SU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICA SU MD (MD)
(805) 375-1611
Entity
Organization
Contact information
Practice address
1000 NEWBURY RD STE 115, NEWBURY PARK, CA 91320-6436
(805) 375-1611
Mailing address
1000 NEWBURY RD STE 115, NEWBURY PARK, CA 91320-6436
(805) 375-1611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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