Su, Daniel

Su, Daniel is an individual health care provider with primary practice located at 23961 Calle De La Magdalena Ste 500 , Laguna Hills CA 92653-7622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Su, Daniel can be contacted via phone (949) 855-1101.

Contact Information

Primary practice address
23961 Calle De La Magdalena Ste 500 Laguna Hills CA 92653-7622
Phone: (949) 855-1101
Fax: (949) 855-8710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D0076585 Maryland
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA08786700 New Jersey
Allopathic & Osteopathic Physicians / Urology 208800000X A142296 California

Profile Details

NPI number 1235442534
LBN Legal business name Su, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2010
Last updated May 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235442534 NPPES
California MEDICAID 100234590
California Other CB267295
California MEDICAID 467006000

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