Organization
SOPHIA S. HOM, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA SUNG HOM MD (PRESIDENT)
(213) 482-1725
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BOULVARD, SUITE 804, LOS ANGELES, CA 90017-4810
(213) 482-1725
(213) 482-1725
Mailing address
616 ST PAUL AVE, SUITE 732, LOS ANGELES, CA 90017-2022
(213) 482-1725
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G70336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G703360
—
CA
Enumeration date
07/17/2008
Last updated
09/15/2008
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