Individual provider · Type 1 NPI

Derrick Weison Su, MD

Specialist · Fountain Valley, CA

NPI number 1740569789 Active

Practice location

11180 Warner Ave Ste 351
Fountain Valley, CA 92708-7516

Call (714) 698-0300 Map

Fax (714) 698-0313

Mailing address

11180 Warner Ave, Ste 351
Fountain Valley, CA 92708-7516

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA125217 (CA)

Specialist: 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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About NPI 1740569789

Derrick Weison Su, MD's National Provider Identifier is 1740569789, issued on Aug 9, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fountain Valley, CA. The record was last updated on May 15, 2019.