JEANNIE JIWON SU

SANTA MONICA, CA
NPI1922487800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: CA  A168007)
Enumeration Date2015-05-25
Last Update Date2024-05-01
Business Address
JEANNIE JIWON SU M.D.
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2303
Phone number: 310-582-7137
Mailing Address
JEANNIE JIWON SU M.D.
1014 BROADWAY # 109
SANTA MONICA, CA 90401-2808
Phone number: 424-432-2304
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