DR. KENNY C SU


Address: 3120 S Hacienda Blvd, Suite 103, Hacienda Heights, CA 91745-6305
Phone: 6268551091

DR. KENNY C SU (NPI# 1437141918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437141918
Entity Type Individual
Full Name DR. KENNY C SU
Other Name DR. CHIEN-TZU SU
Credential M.D.
Practice Address 3120 S Hacienda Blvd
Suite 103
Hacienda Heights
CA 91745-6305
Practice Telephone 6268551091
Practice Fax Number 6263695988
Mailing Telephone 6268551091
Mailing Fax Number 6263695988
Enumeration Date 2005-08-19
Last Update Date 2008-12-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
A43900 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A439000 05

Other Providers KENNY SU

NPI Name Taxonomy Address Enumeration
1114570140 Kenny Su Behavior Technician 18008 Sky Park Cir Ste 110, Irvine, CA 92614-6434 2019-07-18

Office Location

Street Address 3120 S HACIENDA BLVD
SUITE 103
City HACIENDA HEIGHTS
State CA
Zip Code 91745-6305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447647490 Laura Wang Acupuncturist 3120 S Hacienda Blvd, #201a, Hacienda Heights, CA 91745-6305 2015-04-16
1922263268 Curtis W. Cross, D.d.s. Dentist 3120 S Hacienda Blvd, Suite 204, Hacienda Heights, CA 91745-6305 2008-07-25
1730344722 Curtis W. Cross Dentist 3120 S Hacienda Blvd, Suite 204, Hacienda Heights, CA 91745-6305 2008-07-19
1033321427 Hacienda Colima Investment Inc. Durable Medical Equipment & Medical Supplies 3120 S Hacienda Blvd, Suite 105, Hacienda Heights, CA 91745-6305 2007-05-05
1609919786 David J. Jo Dds Ms Inc. Dentist 3120 S Hacienda Blvd, Suite 205, Hacienda Heights, CA 91745-6305 2007-02-15
1689711822 David Jaekwan Jo Dentist 3120 S Hacienda Blvd, Suite 205, Hacienda Heights, CA 91745-6305 2007-01-30
1043375637 Alfred Richard Salcido Dentist 3120 S Hacienda Blvd, Suite 202, Hacienda Heights, CA 91745-6305 2006-12-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528534963 Dr Huang's Dental Corp Clinic/Center 15724 E Gale Av, Hacienda Heights, CA 91745 2018-10-23
1427570175 Christopher Aoyama Chiropractic Corporation Chiropractor 2131 S. Hacienda Blvd., Hacienda Heights, CA 91745 2017-07-14
1194175695 Wu Ying Acupuncturist 14601 Wedgeworth Dr., Hacienda Heights, CA 91745 2016-06-15
1417317975 Helen Xu Pharmacist 15578 E Gale Ave, Hacienda Heights, CA 91745 2016-02-26
1962869545 Optometrx Optometrist 17134b Colima Road, Hacienda Heights, CA 91745 2016-01-27
1033526561 Eric Han-peng Huang Dentist 15220 Los Robles Ave, Hacienda Heights, CA 91745 2014-07-16
1548686686 Vicki Lufei Acupuncturist 15568 Cristalino St., Hacienda Heights, CA 91745 2014-03-13
1821433822 Zhigang Liu Acupuncturist 15896 E Gale Ave., Hacienda Heights, CA 91745 2013-05-03
1043559230 Viola S. Iskarous Dentist 2440 South Hacienda Blvd, Suite 233, Hacienda Heights, CA 91745 2013-02-07
1992059836 Young Kim, Dds, Inc. Dentist 16388 Colima Road, Suite #201, Hacienda Heights, CA 91745 2012-10-30
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336228253 Shang Cheng Wu Internal Medicine 3141 S Hacienda Blvd, Hacienda Heights, CA 91745-6304 2006-11-02
1558451815 Sam Sheung Tsam Kam Internal Medicine 17170 Colima Rd, Suite E, Hacienda Heights, CA 91745-6771 2006-10-14
1861680084 Casey Fu M D Inc Internal Medicine 16404 Colima Rd Fl 1, Hacienda Heights, CA 91745-5502 2007-10-12
1558570887 Casey Fu Internal Medicine 16404 Colima Rd Fl 1, Hacienda Heights, CA 91745-5502 2007-05-22
1356425516 Christina Ching Hsiu Chen Internal Medicine 17170 Colima Rd, Suite E, Hacienda Heights, CA 91745-6771 2006-10-24

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1003417643 New Skin and Body Aesthetics Inc Internal Medicine 4980 Barranca Parkway, 201, Irvine, CA 92604 2020-11-02
1487252359 Westside Gastroenterology and Hepatology Internal Medicine 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 2020-10-13
1548883622 Martha Hierro, Md Inc Internal Medicine 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 2020-05-22
1922629542 Dieta Inc. Internal Medicine 15 Locust Ave, Oak Park, CA 91377-1115 2020-05-05
1861020364 Kelvin Yeh Md Inc Internal Medicine 1715 S Date Ave, Alhambra, CA 91803-2908 2020-03-30
1598399917 Indraneel Chakrabarty, Md Inc. Internal Medicine 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 2020-02-25
1316581390 Premier Digestive Health A Medical Corporation Internal Medicine 16350 Ventura Blvd # D539, Encino, CA 91436-5300 2019-11-01
1427604834 Adventist Health Physicians Network Internal Medicine 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 2019-08-12
1861045106 Gary M Van Deventer Md Inc Internal Medicine 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 2019-07-16
1689232779 Zelman Weingarten Md Inc Internal Medicine 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 2019-06-03
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Competitor

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City HACIENDA HEIGHTS
Zip Code 91745

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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