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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