Healthcare Provider Details

I. General information

NPI: 1578945853
Provider Name (Legal Business Name): DR. ERIC SZU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 ORANGE AVE STE 101
CORONADO CA
92118-1408
US

IV. Provider business mailing address

2816 E ROSEMARY DR
WEST COVINA CA
91791-2231
US

V. Phone/Fax

Practice location:
  • Phone: 619-522-0399
  • Fax: 619-522-0375
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA159598
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA159598
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME139232
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMDN19389
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: