Individual
DR. STEPHEN KWANSIA SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
715 E CHAPMAN, ORANGE, CA 92866-1620
(714) 532-6357
(714) 532-4144
Mailing address
P.O. BOX 2517, ANAHEIM, CA 92814-0517
(714) 532-6357
(714) 532-4144
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E21740
—
CA
Enumeration date
02/27/2007
Last updated
02/27/2012
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