Individual
MR. JEFFREY JOON-BUM SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
421 N RODEO DR, TERRACE LEVEL, NORTH, 2ND FLOOR, BEVERLY HILLS, CA 90210-4500
(310) 274-5372
(310) 274-5380
Mailing address
421 N RODEO DR, TERRACE LEVEL, NORTH, 2ND FLOOR, BEVERLY HILLS, CA 90210-4500
(310) 274-5372
(310) 274-5380
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20727
CA
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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