Soonthonthum, Jennylaine
Soonthonthum, Jennylaine is an individual health care provider with primary practice located at 1821 Wilshire Blvd Ste 400 , Santa Monica CA 90403-5679. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Soonthonthum, Jennylaine can be contacted via phone (213) 460-2442.Contact Information
Primary practice address
1821 Wilshire Blvd Ste 400
Santa Monica CA 90403-5679
Phone: (213) 460-2442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95032674 | California |
| Nursing Service Providers / Emergency | 163WE0003X | 95041589 | California |
Profile Details
| NPI number | 1740906809 |
|---|---|
| LBN Legal business name | Soonthonthum, Jennylaine |
| Credentials | MSN, APRN, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2022 |
| Last updated | Jul 22nd, 2025 - about last year |
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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