Dongmin Suh, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A33687 Issued in CA

Practice address

12555 Garden Grove Blvd Ste 406
Garden Grove, CA 92843-1904

Phone

(714) 636-0322

Fax

(714) 636-9694

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881704740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 406",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431904",
            "telephone_number": "714-636-0322",
            "fax_number": "714-636-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 406",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431904",
            "telephone_number": "714-636-0322",
            "fax_number": "714-636-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "DONGMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A33687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven S Stryker, DC
• Emma Sturm
• Hsiang-Ting Su
• Chelcy Olivia Suarez
• Derrick George Sueki, DPT
• Ellis M Suh, D.C.
• Michelle Suh
• Myles Sullivan
• Timothy Coleman Sullivan, M.ED., BCBA
• Patricia Mae Oca Sumang

• Pediatrics Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.