Jessie Su, OD

NPI 1477124956 · on the registry since 2021

Practice

Address: 5030 Hamner Ave
Eastvale, CA 91752
Phone: (951) 361-9092
Organisation at this address: Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Dr Latisha Patel A Professional Optometric Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-10-05

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