Individual
JOHANNA SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 LAGUNA RD STE 100, FULLERTON, CA 92835-3601
(714) 992-5350
(714) 992-8156
Mailing address
101 LAGUNA RD STE 100, FULLERTON, CA 92835-3601
(714) 992-5350
(714) 992-8156
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301085979
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
A 107493
CA
Other
Enumeration date
05/14/2007
Last updated
11/10/2021
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