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NPI Code Detail

MEDICARE: SOOIL LLC

MEDICARE: SOOIL LLC
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
1332B00000XDurable Medical Equipment & Medical SuppliesCA

General Provider Information

NPI Number : 1497943781
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOOIL LLC
Provider Business Mailing Address
First Line : 5677 OBERLIN DR
Second Line : #101
City : SAN DIEGO
State : CA
Zip : 92121-1740
Country : US
Telephone Number : 858-404-0659
Fax Number : 858-404-0747
Provider Business Practice Location Address
First Line : 5677 OBERLIN DR
Second Line : #101
City : SAN DIEGO
State : CA
Zip : 92121-1740
Country : US
Telephone Number : 858-404-0659
Fax Number : 858-404-0747
Authorized Official
Title or Position : PRESIDENT
Name : SOO BONG CHOI
Credential :
Telephone Number : 858-404-0659
Provider Enumeration Date : 10/11/2007
Last Update Date : 10/11/2007

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Directions to “SOOIL LLC ” Practice Location

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