CALIFORNIACARECORP
Managed Care Organizations at Brand Blvd, Glendale, CA

License number
California A91343
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MICHAEL MING-TA SU M.D.
Title: PROVIDER
Phone: (818) 551-0026
Address
Address
127 S Brand Blvd #241, Glendale, CA 91204
National Provider ID: 1407177785
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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