Su Medical Group, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SU MEDICAL GROUP, PC

Practice address

2727 W Olympic Blvd Ste 210
Los Angeles, CA 90006-2640

Phone

(424) 432-2304

NPI assigned

May 13, 2026

Organization subpart

No

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

Authorized official

Name

Jeannie Su, MDNPI 1922487800

Title

Ceo

Phone

(424) 432-2304

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannie Jiwon Su, M.D.

  • Urology Physician
  • Santa Monica, CA
  • NPI 1922487800

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1598693137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BROADWAY # 109",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012808",
            "telephone_number": "424-432-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062640",
            "telephone_number": "424-432-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-432-2304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip A. Stutz, PHILIP STUTZ, M.D.
• Danielle Stutzman, PHARMD
• Ryan Scott Stybel, O.D.
• Kenneth E. Style, P.A.
• Krucial Keats Styslinger, MD
• Catherine Su, PHARMD
• Cheng-Tzu Su, MD
• Chuying Su, MD
• Daniel C Su, M.D.
• Edith Su

• Urology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.