Individual
RUIJUN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
351 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1275
(805) 373-8582
Mailing address
11021 BOREN AVE, LOMA LINDA, CA 92354-6517
(909) 796-5266
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A146517
CA
Other
Enumeration date
04/02/2014
Last updated
10/29/2019
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