Individual
EUNICE SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14642 NEWPORT AVE STE 200, TUSTIN, CA 92780-6058
(714) 247-0300
Mailing address
14642 NEWPORT AVE STE 200, TUSTIN, CA 92780-6058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95230240
CA
363L00000X
Nurse Practitioner
95026817
CA
363LF0000X
Family Nurse Practitioner
Primary
95026817
CA
Other
Enumeration date
01/31/2024
Last updated
03/02/2024
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