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Organization

SU MEDICAL GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNIE SU MD (CEO)
(424) 432-2304
Entity
Organization

Contact information

Practice address
2727 W OLYMPIC BLVD STE 210, LOS ANGELES, CA 90006-2640
(424) 432-2304
Mailing address
1014 BROADWAY # 109, SANTA MONICA, CA 90401-2808
(424) 432-2304

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
05/13/2026
Last updated
05/13/2026
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