Individual
SUCHADA KWUNYEUN SHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
(310) 517-4077
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(888) 505-0043
(626) 405-4600
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A79280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A792800
—
CA
Enumeration date
11/29/2006
Last updated
12/21/2021
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