Organization
STEPHEN SU, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ALVARADO (MANAGER)
(951) 278-5590
Entity
Organization
Contact information
Practice address
715 E CHAPMAN AVE, ORANGE, CA 92866-1620
(714) 532-6357
(714) 532-4144
Mailing address
715 E CHAPMAN AVE, ORANGE, CA 92866-1620
(714) 532-6357
(714) 532-4144
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E2174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2174
MEDICAL LICENSE
CA
Enumeration date
04/15/2015
Last updated
04/15/2015
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