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Organization

JSU MEDICAL, PC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(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
06/28/2023
Last updated
05/01/2024
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