MONICA SU MD INC
NPI 1881074300
General Practice in Newbury Park, CA

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since June 01, 2015

1000 NEWBURY RD, STE 115, NEWBURY PARK, CA 91320(805) 375-1633(805) 955-9966 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Monica Su Md Inc NPPES

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

MONICA SU MD INC (NPI 1881074300) is a healthcare organization registered as a general practice in Newbury Park, California and active in the NPI registry since June 2015. The organization lists Lisa Ann Vanessen, Insurance Administrator, as its authorized official.

NPPES Registry Identity

NPI1881074300

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMONICA SU MD INC

Location Address1000 NEWBURY RD, STE 115Newbury Park, CA 91320-6435

Mailing Address1000 Newbury Rd, Ste 115Newbury Park, CA 91320-6435 · (805) 375-1633 · Fax (805) 955-9966

Phone(805) 375-1633

Fax(805) 955-9966

Organization SubpartNo

Authorized OfficialLisa Ann VanessenInsurance Administrator · (805) 955-9990

Enumeration DateJune 1, 2015

Last NPPES UpdateAugust 31, 2015

✔ NPI 1881074300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A134489

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1000 NEWBURY RD, Newbury Park, CA 91320

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Other Identifiers 1

Medicare PINA134489CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP