Organization
CUA & GAN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNG SUE CUA (MEDICAL DIRECTOR)
(626) 960-4989
Entity
Organization
Contact information
Practice address
1433 W MERCED AVE STE 114, WEST COVINA, CA 91790-3402
(626) 960-4989
Mailing address
1433 W MERCED AVE STE 114, WEST COVINA, CA 91790-3402
(626) 960-4989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A36509
CA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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