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Stephen Su, D.p.m.
Podiatric Clinic/Center in Orange, California
NPI 1376939496

Stephen Su, D.p.m. is a Podiatric Clinic/Center based in Orange, CA and is specialized in Podiatric. Stephen Su, D.p.m. practices in Orange, CA. The NPI Number for Stephen Su, D.p.m. is 1376939496 and holds a License No. E2174 (California).

The current practice location address for Stephen Su, D.p.m. is 715 E Chapman Ave, Orange, CA and can be reached out via phone at 714-532-6357 and via fax at 714-532-4144.

Location: 715 E Chapman Ave, Orange, CA, 92866-1620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376939496
Provider Name
Stephen Su, D.p.m.
Credential
Provider Entity Type
Organization
Address
715 E Chapman Ave, Orange, CA, 92866-1620
Phone Number
714-532-6357
Fax Number
714-532-4144
Provider Enumeration Date
04/15/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E2174 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
715 E Chapman Ave
City
Orange
State
California
Zip
92866-1620
Phone Number
714-532-6357
Fax Number
714-532-4144
person
Provider Business Mailing Address Details
Address
715 E Chapman Ave
City
Orange
State
California
Zip
92866-1620
Phone Number
714-532-6357
Fax Number
714-532-4144
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
E2174 (California)
Definition
Definition to come...
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