Park, Sooh
Park, Sooh is an individual health care provider with primary practice located at 34880 Yucaipa Blvd , Yucaipa CA 92399-4235. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Park, Sooh can be contacted via phone (909) 797-1136.Contact Information
Primary practice address
34880 Yucaipa Blvd
Yucaipa CA 92399-4235
Phone: (909) 797-1136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 63849 | California |
| Dental Providers / General Practice | 1223G0001X | 63849 | California |
Profile Details
| NPI number | 1477956175 |
|---|---|
| LBN Legal business name | Park, Sooh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2014 |
| Last updated | Jan 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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