Weizhong Su DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEIZHONG SU DDS INC

Practice address

5567 N Azusa Ave
Azusa, CA 91702-5544

Phone

(626) 969-7717

Fax

(626) 633-0800

NPI assigned

Jun 4, 2010

Last updated

Jun 4, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Weizhong SuNPI 1386801405

Title

President

Phone

(626) 969-7717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Weizhong Su, DDS

  • General Practice Dentistry
  • Azusa, CA
  • NPI 1386801405
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1477873073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025544",
            "telephone_number": "626-969-7717",
            "fax_number": "626-633-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025544",
            "telephone_number": "626-969-7717",
            "fax_number": "626-633-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIZHONG SU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "WEIZHONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-969-7717",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Wall
• Jordan Wall
• Dang Wang
• Helen Wang
• Paola Montoya Watson
• Veronika J Weller, FNP-C
• Michael Westerdahl
• Ashley L Wickliffe
• Wilbur Home Health Care & Medical Supply Inc (AA Medical Supply Inc.)
• Wilbur Home Helth Care & Medical Supply Inc. (AA Medical Supply Inc.)

• General Practice Dentistry in Azusa, CA
• Providers in Azusa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.