1. Home
  2. Directory
  3. California
  4. San Diego
  5. Nurse Practitioner
  6. NPI Profile

ILSU MIN
NPI 1689150096
Nurse Practitioner - Family in San Diego, CA

Active since July 18, 2018
4811 VALDINA WAY, SAN DIEGO, CA 92124(316) 304-3580 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ilsu Min NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILSU MIN (NPI 1689150096) is an individual family provider in San Diego, California, licensed in California (NP95008001) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1689150096
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameILSU MIN
Location Address4811 VALDINA WAYSan Diego, CA 92124-2427
Mailing Address4811 Valdina WaySan Diego, CA 92124-2427 · (316) 304-3580
Phone(316) 304-3580
Sole ProprietorNo
Enumeration DateJuly 18, 2018
✔ NPI 1689150096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95008001
4811 VALDINA WAY, San Diego, CA 92124
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilsu Min's NPI number?

The NPI number for Ilsu Min is 1689150096. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Ilsu Min located?

Ilsu Min practices at 4811 Valdina Way, San Diego, CA 92124. The listed phone number is (316) 304-3580.

What is Ilsu Min's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ilsu Min was last updated on July 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.