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General NPI Number Information
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NPI Number | 1043753841
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Entity Type | Individual
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Provider Name | SOMAT KOUNG MHS
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Gender | Female
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1300 S GRAND AVE BLDG C213-W
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City | SANTA ANA
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State | CA
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Zip | 92705-4434
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Country | US
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Telephone | 714-567-7688
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Fax | 714-567-5140
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Provider Business Mailing Address
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Address Line | 1300 S GRAND AVE BLDG C213-W
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City | SANTA ANA
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State | CA
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Zip | 92705-4434
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Country | US
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Telephone | 714-567-7688
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Fax | 213-383-3146
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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