Individual
DR. DANIEL SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23961 CALLE DE LA MAGDALENA STE 500, LAGUNA HILLS, CA 92653-7622
(949) 855-1101
(949) 289-9171
Mailing address
23961 CALLE DE LA MAGDALENA STE 500, LAGUNA HILLS, CA 92653-7622
(949) 855-1101
(949) 289-9171
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25MA08786700
NJ
208800000X
Urology Physician
Primary
A142296
CA
208800000X
Urology Physician
D0076585
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234590
—
CA
05
—
467006000
—
MD
01
—
CB267295
MEDICARE
CA
Enumeration date
07/15/2010
Last updated
10/23/2025
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