MONICA SU MD INC NPI 1881074300

NPI Information

MONICA SU MD INC is a general practice in Newbury Park, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MONICA SU MD INC NPI is 1881074300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 NEWBURY RD
STE 115
NEWBURY PARK, CA
ZIP 91320-435
Phone: (805) 375-1633
Fax: (805) 955-9966

The provider's authorized official is Lisa Ann Vanessen .
The authorized official title is Insurance Administrator and has the following contact phone number (805) 955-9990.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 8/31/2015.

Taxonomy Codes

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Other Identifiers

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