Henry Su (NPI# 1902033913, PAC ID# 8022265818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1902033913 |
| PAC ID by PECOS | 8022265818 |
| Professional Enrollment ID | I20120830000098 |
| Full Name | Henry Su |
| Organization Legal Name | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Address |
3751 Katella Ave Los Alamitos CA 90720-3113 |
| Phone Number | 9288549603 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2769388412 |
| Number of Group Practice Members | 205 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050191 | ST MARY MEDICAL CENTER |
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| 050551 | LOS ALAMITOS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3295 | 5626244999 | PROHEALTH PARTNERS, A MEDICAL GROUP |
| 1050 Linden Ave, Long Beach, CA 90813-3321 | 5624919000 | PROHEALTH PARTNERS, A MEDICAL GROUP |
| 3751 Katella Ave, Los Alamitos, CA 90720-3113 | 9288549603 | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Organization Legal Name | PROHEALTH PARTNERS, A MEDICAL GROUP |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Oberhart | Internal Medicine | Prohealth Partners, A Medical Group | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| Tiffany Lynn Mcvey | Nurse Practitioner | Prohealth Partners, A Medical Group | 2777 Pacific Ave, Suite E, Long Beach, CA 90806-2626 |
| Samir Samarany | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 685 N 13th Ave, Suite 9, Upland, CA 91786-4963 |
| Leticia K Gonzalez | Physician Assistant | Prohealth Partners, A Medical Group | 7643 Atlantic Ave, Cudahy, CA 90201-5019 |
| Corinne Kaveny | Physician Assistant | Prohealth Partners, A Medical Group | 1045 Atlantic Ave, Suite 1019, Long Beach, CA 90813-3413 |
| Carol Veneracion-godoy | Physician Assistant | Prohealth Partners, A Medical Group | 711 E Rosecrans Ave, Compton, CA 90221-2143 |
| Tina M Allee | Psychiatry | Prohealth Partners, A Medical Group | 2900 Bristol St, B203b205, Costa Mesa, CA 92626-5981 |
| Mona M Shah | General Surgery | Prohealth Partners, A Medical Group | 3628 E Imperial Hwy 202, Lynwood, CA 90262-2600 |
| Sabeen Munib | Family Medicine | Prohealth Partners, A Medical Group | 23181 La Cadena Dr, Suite 101, Laguna Hills, CA 92653-1479 |
| Nayna A Paryani | Nurse Practitioner | Prohealth Partners, A Medical Group | 1868 Pacific Ave, Long Beach, CA 90806-6113 |
| Street Address |
3751 KATELLA AVE |
| City | LOS ALAMITOS |
| State | CA |
| Zip | 90720-3113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fabiola O Sianturi | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 3751 Katella Ave, Los Alamitos, CA 90720-3113 |
| Alexandra S Gensemer | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 3751 Katella Ave, Los Alamitos, CA 90720-3113 |
| Salma A Habib | Emergency Medicine | California Em-i Medical Services A Medical Corporation | 3751 Katella Ave, Los Alamitos, CA 90720-3113 |
| Stefan Schneider | Infectious Disease | Prohealth Partners, A Medical Group | 3751 Katella Ave, Los Alamitos, CA 90720-3113 |
| Kamran Aflatoon | Orthopedic Surgery | 3751 Katella Ave, Los Alamitos, CA 90720-3113 | |
| Michael W Perlman | Emergency Medicine | California Em-i Medical Services A Medical Corporation | 3751 Katella Ave, Los Alamitos, CA 90720-3113 |
| Charles M Maples | Family Medicine | First Choice Physician Partners | 3751 Katella Ave, Los Alamitos, CA 90720-3113 |
| Justin Cole Evans | Emergency Medicine | California Em-i Medical Services A Medical Corporation | 3751 Katella Ave, Los Alamitos, CA 90720-3113 |
| Shawn Michael Crum | Infectious Disease | 3751 Katella Ave, Los Alamitos, CA 90720-3113 | |
| Valerie K Mehl | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 3751 Katella Ave, Los Alamitos, CA 90720-3113 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haniffa M Maznavi | Internal Medicine | 3791 Katella Ave, Suite 101, Los Alamitos, CA 90720-2000 | |
| Sharon Kelly | Psychologist, Clinical | 3791 Katella Ave, Suite 106, Los Alamitos, CA 90720-2000 | |
| Lawrence G Waldrop | Internal Medicine | 3791 Katella Ave, Suite 104, Los Alamitos, CA 90720-2000 | |
| Mauricio J Heilbron Jr. | General Surgery | Prohealth Partners, A Medical Group | 3791 Katella Ave, Suite 107, Los Alamitos, CA 90720-2000 |
| Harold M Lin | Internal Medicine | 3791 Katella Ave, Suite 105, Los Alamitos, CA 90720-2000 | |
| Mark M Chung | Pulmonary Disease | 3791 Katella Ave, Suite 103, Los Alamitos, CA 90720-2000 | |
| Steve C Landis | Chiropractic | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | |
| Craig F Hite | Chiropractic | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | |
| David L Vannix | General Surgery | Vascular and General Surgery Associates | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-2016 |
| Fritz Baumgartner | Thoracic Surgery | Vascular and General Surgery Associates | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-2016 |
| Find all physicians in zip 90720 | |||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | LOS ALAMITOS + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Henry Su.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.