Su, Lyndon D
Su, Lyndon D is an individual health care provider with primary practice located at 2440 S Sepulveda Blvd Suite 235, Los Angeles CA 90064-1784. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Su, Lyndon D can be contacted via phone (818) 689-1808.Contact Information
Primary practice address
2440 S Sepulveda Blvd Suite 235
Los Angeles CA 90064-1784
Phone: (818) 689-1808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 4301060359 | Michigan |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301060359 | Michigan |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G84418 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | G84418 | California |
Profile Details
| NPI number | 1922180801 |
|---|---|
| LBN Legal business name | Su, Lyndon D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | May 27th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922180801 | NPPES |
| Michigan | MEDICAID | 3483770 |
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