Denise K C Sur Family Practice
1920 Colorado Ave, Santa Monica, CA 90404-3414


Denise K C Sur is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1326062134. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7618993163. The medical credential is MD. The primary specialty is FAMILY PRACTICE. The organization is UC REGENTS UCLA FAMILY HEALTH CENTER. The address is 1920 Colorado Ave, Santa Monica, CA 90404-3414. The zip code is 90404.


Denise K C Sur · 1920 Colorado Ave, Santa Monica, CA 90404-3414

Nation Provider ID 1326062134
PAC ID by PECOS 7618993163
Professional Enrollment ID I20051024000527
Last Name SUR
First Name DENISE
Middle Name K C
Gender F
Credential MD
Medical School Name UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty FAMILY PRACTICE
Primary Specialty UC REGENTS UCLA FAMILY HEALTH CENTER
Phone Number 3103194700
Group Practice PAC ID 9739083866
Number of Group Practice Members 32
Address 1920 COLORADO AVE
SANTA MONICA, CA 904043414
Claims Based Hospital Affiliation Claim Control Number (CCN): 050112
Legal Business Name: SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 050262
Legal Business Name: RONALD REAGAN U C L A MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

street_number: 1920
route: Colorado Avenue (Colorado Ave)
locality, political: Santa Monica
admin_level_2, political: Los Angeles County
admin_level_1, political: California (CA)
country, political: United States (US)
postal_code: 90404
postal_code_suffix: 3414
types : premise
latitude: 34.0252395
longitude: -118.4768892
latlng: (34.0252395, -118.4768892)


Uc Regents Ucla Family Health Center · Medicare Physician

Name Address Specialty
Michelle Bholat 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Blanca Campos 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Timothy Weiss 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Joy Chudzynski 1920 Colorado Ave, Santa Monica, CA 90404-3414 CLINICAL PSYCHOLOGIST
Derjung Tarn 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Keith Heinzerling 1920 Colorado Ave, Santa Monica, CA 90404-3414 INTERNAL MEDICINE
Joshua Goldman 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Monica Plesa 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Nancy Tyre 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Steven Shoptaw 1920 Colorado Ave, Santa Monica, CA 90404-3414 CLINICAL PSYCHOLOGIST
Anne Arikian 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
John Difiori 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
David Wallenstein 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Youhualli Anaya 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Lynn Stephens 1920 Colorado Ave, Santa Monica, CA 90404-3414 NURSE PRACTITIONER
Lynne Garcia 1920 Colorado Ave, Santa Monica, CA 90404-3414 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Yelba Castellon-lopez 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Arthur Ohannessian 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Joy Hao 1920 Colorado Ave, Santa Monica, CA 90404-3414 INTERNAL MEDICINE
Daniel Lee 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE

Zip 90404 · Family Practice · Medicare Physician

Name Address Specialty
Eileen Mcgrath 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Katie Hu 2336 Santa Monica Blvd, Santa Monica, CA 90404-2067 FAMILY PRACTICE
Richard Ross 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Patricia Chang 2001 Santa Monica Blvd, Santa Monica, CA 90404-2179 FAMILY PRACTICE
Michelle Sangalang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Jennifer Chang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Monica Plesa 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
John Difiori 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Jennifer Logan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Ruth Sorotzkin 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE
Ann Ryan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Megan Chen 2001 Santa Monica Blvd, Santa Monica, CA 90404-2202 FAMILY PRACTICE
Lily Nourmand 2021 Santa Monica Blvd, Santa Monica, CA 90404-2132 FAMILY PRACTICE
Julia Blank 2001 Santa Monica Blvd, Santa Monica, CA 90404-2179 FAMILY PRACTICE
Youhualli Anaya 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Diane Rhee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Ashley Bateman 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Daina Danovitch 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Lawrence Dardick 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Scott Bateman 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE

Zip 90404 · Medicare Physician

Name Address Specialty
Albert Shieh 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 ENDOCRINOLOGY
Mark Mcgowan 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 INTERNAL MEDICINE
Martin Chenevert 1250 16th St, Santa Monica, CA 90404-1249 EMERGENCY MEDICINE
Gundappa Neelakanta 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Mari Bozoghlanian 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Gary Iwamoto 1448 15th St, Santa Monica, CA 90404-2756 CHIROPRACTIC
Christine Myo Bui 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Amar Nawathe 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
David Gunn 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Ryan Aronin 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Ramana Duvvuri 1245 16th St, Santa Monica, CA 90404-1235 ANESTHESIOLOGY
Banafsheh Salehi 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Kimberly Livas 1448 15th St, Santa Monica, CA 90404-2750 PHYSICAL THERAPY
Grace Huang 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GENERAL PRACTICE
Camelia Davtyan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
George Yen 1245 16th St, Santa Monica, CA 90404-1239 INTERNAL MEDICINE
Heidi Clausen 1250 16th St, Santa Monica, CA 90404-1249 NURSE PRACTITIONER
Benjamin Waterman 1245 16th St, Santa Monica, CA 90404-1240 INTERNAL MEDICINE
Malcolm Taw 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
James Wang 1450 Cloverfield Blvd, Santa Monica, CA 90404-2943 PODIATRY