Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | G48613 | CA |
N | 207RP1001X | Pulmonary Disease | G48613 | CA |
NPI | 1073624896 |
---|---|
Provider Name | Dr. Guy W Soo Hoo |
First Address | Santa Monica, CA 90402-3056 |
Second Address | Los Angeles, CA 90073-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F10851 | (02) | CA |