MS. SOJUNG SUK (NPI# 1811376056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811376056 |
| Entity Type | Individual |
| Full Name | MS. SOJUNG SUK |
| Credential | NP |
| Practice Address |
1055 S Victoria Ave Los Angeles CA 90019-1924 |
| Practice Telephone | 2133691578 |
| Mailing Telephone | 2133691578 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP95000386 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1055 S VICTORIA AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619445756 | Miran Michelle Lee | Nurse Practitioner | 757 Westwood Plz # 6w, Los Angeles, CA 90095-8358 | 2018-11-07 |
| 1235624057 | Maureen Nicole Copeland | Nurse Practitioner | 8540 S Sepulveda Blvd Ste 818, Los Angeles, CA 90045-3808 | 2018-06-25 |
| 1043724388 | Naoko Mitori | Nurse Practitioner | 200 S San Pedro St Ste 302, Los Angeles, CA 90012-5308 | 2017-11-22 |
| 1891206538 | Elizabeth S Kim | Nurse Practitioner | 100 Medical Plaza Suite 630e, Los Angeles, CA 90095-7368 | 2017-10-20 |
| 1205384310 | Elizabeth Garcia | Nurse Practitioner | 4499 Via Marisol, 111a, Los Angeles, CA 90042-5147 | 2016-09-18 |
| 1831559756 | Fara J. Delaney | Nurse Practitioner | 3756 Santa Rosalia Dr Ste 506, Los Angeles, CA 90008-3656 | 2016-03-04 |
| 1366800815 | Byung Cheol Yoo | Nurse Practitioner | 1118 Valencia St Apt 310, Los Angeles, CA 90015-2077 | 2016-01-29 |
| 1568863348 | Jaana Salonsaari | Nurse Practitioner | 2017 S Shenandoah St, Los Angeles, CA 90034-1218 | 2014-09-11 |
| 1194141275 | Shaojung Angel Hu | Nurse Practitioner | 9315 Cattaraugus Ave, Los Angeles, CA 90034-2338 | 2014-03-12 |
| 1326383142 | Nancy Adelaide Zimmerman | Nurse Practitioner | 8635 W 3rd St Ste 750w, Los Angeles, CA 90048-6108 | 2012-12-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
Please comment or provide details below to improve the information on MS. SOJUNG SUK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.