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NPI Code Detail

MEDICARE: SOOM HEALTH, INC.

MEDICARE: SOOM HEALTH, INC.
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
1171100000XAcupuncturistAC10599CA

General Provider Information

NPI Number : 1972514982
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOOM HEALTH, INC.
Provider Business Mailing Address
First Line : 18261 SOLEDAD CANYON RD
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91387-3532
Country : US
Telephone Number : 661-251-5930
Fax Number :
Provider Business Practice Location Address
First Line : 18261 SOLEDAD CANYON RD
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91387-3532
Country : US
Telephone Number : 661-251-5930
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. A YOUNG KIM
Credential : L.AC.
Telephone Number : 661-251-5930
Provider Enumeration Date : 08/11/2006
Last Update Date : 08/22/2020

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Directions to “SOOM HEALTH, INC. ” Practice Location

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