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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