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NPI Code Detail

MEDICARE: SZU-WEI SU

MEDICARE: SZU-WEI SU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist88093CA

General Provider Information

NPI Number : 1083394241
Entity Type Code : Individual
Provider Name (Legal Business Name) : SZU-WEI SU
Provider Business Mailing Address
First Line : 160 N MISSION DR UNIT B
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91775-2737
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2419 WORKMAN ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-2319
Country : US
Telephone Number : 323-223-9059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2023
Last Update Date : 06/24/2024

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Directions to “ SZU-WEI SU ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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