Su, Stephen Kwansia
Su, Stephen Kwansia is an sole proprietor health care provider with primary practice located at 715 E Chapman , Orange CA 92866-1620. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Su, Stephen Kwansia can be contacted via phone (714) 532-6357.Contact Information
Primary practice address
715 E Chapman
Orange CA 92866-1620
Phone: (714) 532-6357
Fax: (714) 532-4144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E2174 | California |
Profile Details
| NPI number | 1881721926 |
|---|---|
| LBN Legal business name | Su, Stephen Kwansia |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Feb 27th, 2012 - about 12 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 | 1881721926 | NPPES |
| California | MEDICAID | 000E21740 |
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