| Frederica Nina Su | |
|
1000 Newbury Rd Ste 115 Newbury Park CA 91320-6436 | |
| (805) 375-1611 | |
| Not Available |
| Full Name | Frederica Nina Su |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Newbury Rd Ste 115, Newbury Park, California |
| Authorized Official Name and Position | Frederica Su (MD) |
| Authorized Official Contact | 8053751611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederica Nina Su 1000 Newbury Rd Ste 115 Newbury Park CA 91320-6436 Ph: (805) 375-1611 | Frederica Nina Su 1000 Newbury Rd Ste 115 Newbury Park CA 91320-6436 Ph: (805) 375-1611 |
| NPI Number | 1821799891 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821799891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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