MEDICARE: SOCHOA EQUIPMENT 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
1	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1528560232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCHOA EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	26691 PLAZA STE 200
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8582
Country	:	US
Telephone Number	:	949-347-0600
Fax Number	:	949-347-0746

Provider Business Practice Location Address
First Line	:	26691 PLAZA STE 200
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8582
Country	:	US
Telephone Number	:	949-347-0600
Fax Number	:	949-347-0746

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	EMINA WEAVER
Credential	:
Telephone Number	:	949-770-9454

Provider Enumeration Date	:	03/08/2018
Last Update Date	:	03/17/2018

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Directions to “SOCHOA EQUIPMENT LLC ” Practice Location

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