Lian S Soung


Address: 1525 N Eldorado St, Suite 1, Stockton, CA 95204-5903
Phone: 2094655107

Lian S Soung (NPI# 1174510747, PAC ID# 4587682976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1174510747
PAC ID by PECOS 4587682976
Professional Enrollment ID I20090316000179
Full Name Lian S Soung
Address 1525 N Eldorado St
Suite 1
Stockton
CA 95204-5903
Phone Number 2094655107
Gender M
Graduation Year 1970
Primary Specialty INTERNAL MEDICINE
Secondary Specialties NEPHROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050084 ST JOSEPHS MEDICAL CENTER OF STOCKTON

Other Locations

Address Phone Organization
1525 N Eldorado St, Suite 1, Stockton, CA 95204-5903 2094655107

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Office Location

Street Address 1525 N ELDORADO ST
SUITE 1
City STOCKTON
State CA
Zip 95204-5903

Physicians in the same location

Name Specialty Organization Address
Jerry J Soung Nephrology 1525 N Eldorado St, Suite 1, Stockton, CA 95204-5930

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Name Specialty Organization Address
Allison M Hom Physical Therapy 3215 N California, Suite 4, Stockton, CA 95204-3433
May Mardini Physical Therapy 3215 N California St, Suite 4, Stockton, CA 95204-3433
Antonia Aurora Fields Physical Therapy 3215 N California, Suite 4, Stockton, CA 95204-3433
Thomas Oliver Chiropractic 3020 Pacific Ave, Stockton, CA 95204-3639
Amrik Singh Sidhu Family Medicine 2800 N California St, Suite 10, Stockton, CA 95204-3758
Taymour E Malak Family Medicine 2800 N California St, Suite 11, Stockton, CA 95204-3758
Albina G Benabaye Internal Medicine 2800 N California St, Suite 16, Stockton, CA 95204-3758
Iftikhar A Malik Gastroenterology 2800 N California St, Suite 7, Stockton, CA 95204-3758
Fram Buhari Cardiovascular Disease (cardiology) San Joaquin Cardiology Medical Group Inc 2800 N California St, 1 Dr Alvin Cacho, Stockton, CA 95204-3758
Timothy Bechtel General Surgery 2800 N California St, Suite 6, Stockton, CA 95204-3758
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Competitor

Search similar physicians

City STOCKTON
Zip Code 95204
Specialty INTERNAL MEDICINE
City + Specialty STOCKTON + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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