Individual
DR. SU MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13071 BROOKHURST ST STE 150, GARDEN GROVE, CA 92843-1024
(714) 530-3340
(714) 530-3345
Mailing address
13071 BROOKHURST ST STE 150, GARDEN GROVE, CA 92843-1024
(714) 530-3340
(714) 530-3345
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A033477
CA
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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