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Derrick Weison Su, MD
Specialist in Fountain Valley, California
NPI 1740569789

Derrick Weison Su is a Specialist based in Fountain Valley, CA. Derrick Weison Su practices in Fountain Valley, CA and has the professional credentials of MD. The NPI Number for Derrick Weison Su is 1740569789 and holds a License No. A125217 (California).

The current practice location address for Derrick Weison Su is 11180 Warner Ave Ste 351, Fountain Valley, CA and can be reached out via phone at 714-698-0300 and via fax at 714-698-0313.

Location: 11180 Warner Ave Ste 351, Fountain Valley, CA, 92708-7516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740569789
Provider Name
Derrick Weison Su
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11180 Warner Ave Ste 351, Fountain Valley, CA, 92708-7516
Phone Number
714-698-0300
Fax Number
714-698-0313
Provider Enumeration Date
08/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11180 Warner Ave Ste 351
City
Fountain Valley
State
California
Zip
92708-7516
Phone Number
714-698-0300
Fax Number
714-698-0313
person
Provider Business Mailing Address Details
Address
11180 Warner Ave Ste 351
City
Fountain Valley
State
California
Zip
92708-7516
Phone Number
714-698-0300
Fax Number
714-698-0313
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A125217 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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