Rumie Su, MD | |
25965 Normandie Ave, Harbor City, CA 90710-3416 | |
(310) 257-5179 | |
(310) 517-4520 |
Full Name | Rumie Su |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 25965 Normandie Ave, Harbor City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063501542 | NPI | - | NPPES |
00A510990 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A51099 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Rumie Su, MD 393 E Walnut St, 3rd Floor Se Phr System, Pasadena, CA 91188-0001 Ph: (626) 405-7914 | Rumie Su, MD 25965 Normandie Ave, Harbor City, CA 90710-3416 Ph: (310) 257-5179 |
Richard A. Schaar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Hector David Quintanilla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-4374 | |
Cynthia Osmanian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Dr. Nisha Wadhwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25965 Normandie Ave, Harbor City, CA 90710 Phone: 310-467-9908 | |
Dr. Holly Nguyen Diep, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Claudia Alas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 323-268-5000 |