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Organization

CUA & GAN MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEUNG SUE CUA MD (PRESIDENT)
(626) 960-4989
Entity
Organization

Contact information

Practice address
1433 W MERCED AVE, STE 114-8, WEST COVINA, CA 91790-3402
(626) 960-4989
(626) 960-5520
Mailing address
1433 W MERCED, STE 114-8, WEST COVINA, CA 91790
(626) 960-4989
(626) 960-5520

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0013850
CA
Enumeration date
09/26/2006
Last updated
06/10/2024
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