MEDICARE: SOKLEY KHOI PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY16685	CA

General Provider Information

NPI Number	:	1881087898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOKLEY KHOI PH.D.

Provider Business Mailing Address
First Line	:	3011 BAYVIEW DR
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-6304
Country	:	US
Telephone Number	:	510-393-6224
Fax Number	:	510-521-8459

Provider Business Practice Location Address
First Line	:	2515 SANTA CLARA AVE
Second Line	:	SUITE 209
City	:	ALAMEDA
State	:	CA
Zip	:	94501-4660
Country	:	US
Telephone Number	:	510-393-6224
Fax Number	:	510-521-8459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2015
Last Update Date	:	03/16/2015

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Practice Location Address:

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Practice Phone: 510-393-6224
Practice Fax: 510-521-8459

Directions to “ SOKLEY KHOI PH.D.” Practice Location

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