MEDICARE: SOOJIN H POOLE LMFT

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	106H00000X	Marriage & Family Therapist	LMFT97800	CA

General Provider Information

NPI Number	:	1528308780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOOJIN H POOLE LMFT

Provider Business Mailing Address
First Line	:	438 CAMINO DEL RIO S STE 112
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3546
Country	:	US
Telephone Number	:	619-787-6676
Fax Number	:	619-516-3594

Provider Business Practice Location Address
First Line	:	438 CAMINO DEL RIO S STE 112
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3546
Country	:	US
Telephone Number	:	619-787-6676
Fax Number	:	619-516-3594

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

Provider Enumeration Date	:	02/26/2013
Last Update Date	:	01/28/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1376406264 — AUTUMN RAE HORTON AMFT
Practice Location Address:

438 CAMINO DEL RIO S STE 112
SAN DIEGO, CA
92108-3546

Practice Phone: 619-787-6676
Practice Fax:

1174682942 — MS. MARGARET SUE BOYD LCSW
Practice Location Address:

438 CAMINO DEL RIO S STE 112
SAN DIEGO, CA
92108-3546

Practice Phone: 619-787-6676
Practice Fax: 619-516-3594

1083907547 — KENNETH BALDEMOR REYES FNP-BC
Practice Location Address:

438 CAMINO DEL RIO S STE 203
SAN DIEGO, CA
92108-3546

Practice Phone: 619-955-8507
Practice Fax: 619-955-8508

1578986428 — KAMELYA HOME HEALTH INC
Practice Location Address:

438 CAMINO DEL RIO S STE 106
SAN DIEGO, CA
92108-3546

Practice Phone: 619-303-8341
Practice Fax: 619-303-8806

1275020844 — LF CAPITAL INC
Practice Location Address:

438 CAMINO DEL RIO S STE 203
SAN DIEGO, CA
92108-3546

Practice Phone: 619-955-8507
Practice Fax: 855-822-1484

Directions to “ SOOJIN H POOLE LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.