STANLEY M SU


Address: 22966 Cabrillo Ave, Torrance, CA 90501-5507
Phone: 3109209823

STANLEY M SU (NPI# 1871102970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871102970
Entity Type Individual
Full Name STANLEY M SU
Credential CRNA
Practice Address 22966 Cabrillo Ave
Torrance
CA 90501-5507
Practice Telephone 3109209823
Mailing Telephone 3109209823
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
791684 CA Nursing Service Providers

Office Location

Street Address 22966 CABRILLO AVE
City TORRANCE
State CA
Zip Code 90501-5507

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982854253 Erwin Yson Registered Nurse 1000 W Carson St, Torrance, CA 90502-2004 2008-09-23

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Competitor

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City TORRANCE
Zip Code 90501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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