Sofie Ling Champassak (NPI# 1114405305, PAC ID# 6002158680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1114405305 |
| PAC ID by PECOS | 6002158680 |
| Professional Enrollment ID | I20190507003192 |
| Full Name | Sofie Ling Champassak |
| Address |
3411 3rd Ave San Diego CA 92103-4906 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3411 3rd Ave, San Diego, CA 92103-4906 |
| Street Address |
3411 3RD AVE |
| City | SAN DIEGO |
| State | CA |
| Zip | 92103-4906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter E Cadman | Nephrology | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Patrick Pablo | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Kelli Gray-meisner | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Lovella S Hailey | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Valerie L Waters | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Jennifer A Dorward | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Erika Albani | Family Practice | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
| Sharon Grodner | Psychologist, Clinical | 2278 Pine St, San Diego, CA 92103-1153 | |
| Gregory M Balourdas | Hand Surgery | 4101 Randolph St, San Diego, CA 92103-1342 | |
| Stephanie L Lessig | Neurology | Regents of The University of California - Ucsd Medical Group | 4311 3rd Ave, San Diego, CA 92103-1407 |
| Find all physicians in zip 92103 | |||
| City | SAN DIEGO |
| Zip Code | 92103 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SAN DIEGO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Sofie Ling Champassak.
| 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.