Johanna Su, MD
Johanna Su, MD is an Obstetrics/Gynecology in Fullerton, California. Graduated from Northeastern Ohio University College of Medicine in 2005, 21 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California and Michigan.
- Years since qualifying
- 21
- Trained at
- Northeastern Ohio University College of Medicine
- Licensed in
- CA, MI
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
101 Laguna Rd Ste 100Fullerton, CA 92835-3601
Phone: (714) 992-5350
Fax: (714) 992-8156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence A 107493 (CA) |
|---|---|
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence 4301085979 (MI) |
Record details
| NPI number | 1255547725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 14, 2007 |
| Last updated in NPPES | November 10, 2021 |
| Certification date | November 10, 2021 |
| Mailing address | 101 Laguna Rd Ste 100, Fullerton, CA 92835-3601 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 2005 (21 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fullerton
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Pouran Malekzadeh, MD
100 E Valencia Mesa Dr Ste 311, Fullerton, CA 92835-3800 · (714) 992-5350
-
Medical Center for Women
1950 Sunny Crest Dr Ste 2800 Medical Center For Women, Fullerton, CA 92835-3618 · (714) 992-5350
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Precision Health MD Inc
270 Laguna Rd Ste 220, Fullerton, CA 92835-2521 · (714) 272-3477
-
Riana Kaur Sandhar, MD
101 Laguna Rd Ste 100, Fullerton, CA 92835-3601 · (714) 992-5350
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Vasiliki Tatsis, MD
2262 N State College Blvd, Fullerton, CA 92831-1361 · (714) 990-2900
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Dr. Jerald John Thanos, MD
2262 N State College Blvd, Fullerton, CA 92831-1361 · (714) 990-2900
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Dr. Nicholas John Thanos, MD
2262 N State College Blvd, Fullerton, CA 92831-1361 · (714) 990-2900
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Valley Womens Care APC
2501 E Chapman Ave Ste 107, Fullerton, CA 92831-3135 · (714) 409-6881