Individual
KENNETH SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 310-7245
(657) 241-7720
Mailing address
PO BOX 3589, NEWPORT BEACH, CA 92659-8589
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A98233
CA
208M00000X
Hospitalist Physician
Primary
A98233
CA
Other
Enumeration date
06/26/2008
Last updated
08/15/2019
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