# SOPHIA S. HOM, MD, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134383284
- **Authorized official:** DR. SOPHIA SUNG HOM MD (PRESIDENT)
- **Authorized official phone:** (213) 482-1725

## Contact information

- **Practice address:** 1245 WILSHIRE BOULVARD, SUITE 804, LOS ANGELES, CA 90017-4810
- **Practice address phone:** (213) 482-1725
- **Practice address fax:** (213) 482-1725
- **Mailing address:** 616 ST PAUL AVE, SUITE 732, LOS ANGELES, CA 90017-2022
- **Mailing address phone:** (213) 482-1725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | G70336 | CA | Yes |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 09/15/2008