Jeannie Jiwon Su, M.D. is an urology in Santa Monica, CA with 9 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Jeannie Jiwon Su, M.D. NPI is 1922487800. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2015
The provider's business location address is:
2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404-303
Phone: (424) 432-2304
The NPI 1922487800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/25/2015 and was last updated on 7/7/2023.