Su, Tien I Karleen

Su, Tien I Karleen is an individual health care provider with primary practice located at 12456 Washington Blvd , Whittier CA 90602-1005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Su, Tien I Karleen can be contacted via phone (562) 758-6600.

Contact Information

Primary practice address
12456 Washington Blvd Whittier CA 90602-1005
Phone: (562) 758-6600
Fax: (562) 758-6709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A98890 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A98890 California

Profile Details

NPI number 1750581930
LBN Legal business name Su, Tien I Karleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jan 5th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750581930 NPPES
California MEDICAID 00A988900

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