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NPI Code Detail

MEDICARE: YU-KAI SU

MEDICARE:   YU-KAI  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
12085R0202XDiagnostic Radiology PhysicianA161950CA

General Provider Information

NPI Number : 1558775734
Entity Type Code : Individual
Provider Name (Legal Business Name) : YU-KAI SU
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD SUITE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-5631
Country : US
Telephone Number : 310-301-8707
Fax Number : 310-301-8751
Provider Business Practice Location Address
First Line : 757 WESTWOOD PLZ STE 1638
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-2978
Country : US
Telephone Number : 310-267-8796
Fax Number : 310-267-2059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 10/29/2019

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Directions to “ YU-KAI SU ” Practice Location

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