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

Lisa Su, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417536806

Lisa Su, MD is an Orthopedic Surgery in LA Jolla, California. Graduated from University of California, Geffen School of Medicine in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone: (858) 554-7993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A184957 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence A184957 (CA)

Record details

NPI number1417536806
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address10790 Rancho Bernardo Rd, San Diego, CA 92127-5705

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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