Healthcare Provider Details

I. General information

NPI: 1316682206
Provider Name (Legal Business Name): SOHYUN HA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 5024
APO AP
96319-5024
US

IV. Provider business mailing address

1758 GILDA WAY APT 21
SAN JOSE CA
95124-6213
US

V. Phone/Fax

Practice location:
  • Phone: 315-226-6357
  • Fax:
Mailing address:
  • Phone: 408-460-5561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0116036469
License Number StateVA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: