Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haining Su

Individual provider Physical Therapist · NPI 1043987563

Haining Su is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 2021, 5 years ago. Practices with Ida L Coryell Hirst, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

1640 Newport Blvd Ste 260
Costa Mesa, CA 92627-7736
Phone: (949) 335-7967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1043987563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ida L Coryell Hirst — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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