Individual
THEODORE SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26538 MOULTON PKWY STE 38E, LAGUNA HILLS, CA 92653
(949) 448-0656
Mailing address
26538 MOULTON PKWY STE 38E, LAGUNA HILLS, CA 92653-8232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A90266
CA
207RG0100X
Gastroenterology Physician
Primary
A90266
CA
Other
Enumeration date
05/09/2006
Last updated
02/07/2022
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