Lisa Su, MD
Orthopaedic Surgery in La Jolla, CA. Individual provider (NPI-1).
NPI number1417536806
StatusActive
Last updated in NPPESJul 2, 2026
Details
- NPI
- 1417536806
- Entity type
- Individual (NPI-1)
- Name
- Lisa Su
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2021
- Certification date
- Jul 2, 2026
- Last updated
- Jul 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A184957 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | A184957 | CA |
Practice location
10710 N Torrey Pines RdLa Jolla, CA 92037-1035
Phone 858-554-7993
Mailing address
10790 Rancho Bernardo RdSan Diego, CA 92127-5705
Phone 858-554-7993
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