Search › California › 1223G0001X
Kevin Su
NPI 1336791524 · on the registry since 2019
Practice
- Address
- 9382 Shadwell Dr
Huntington Beach, CA 92646 - Phone
- (714) 717-1819
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- NV, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California