Individual
HUI-CHUN IRENE SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9333 GENESEE AVE, SAN DIEGO, CA 92121-2111
(858) 249-6751
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
A 110340
CA
207VE0102X
Reproductive Endocrinology Physician
MD 422907
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110340
CA MEDICAL LICENSE
CA
01
—
F1425240
DRIVER'S LICENSE
CA
Enumeration date
01/23/2007
Last updated
03/04/2020
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