Individual
MA SOMSOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVE # 3D-2, BOX 0862, SAN FRANCISCO, CA 94110-3518
(415) 206-8823
(415) 641-0745
Mailing address
1001 POTRERO AVE # 3D-2, BOX 0862, SAN FRANCISCO, CA 94110-3518
(415) 206-8823
(415) 641-0745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A84310
CA
207RG0100X
Gastroenterology Physician
Primary
A84310
CA
Other
Enumeration date
01/31/2007
Last updated
11/06/2014
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