Individual
MS. JILLAINE ANN SOCHA
Active
Individual
MS. JILLAINE ANN SOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.- C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447410519
NPI - TYPE 2
—
01
—
1720247455
NPI - TYPE 2
—
01
—
1912919804
NPI - TYPE 2
—
01
—
970013835
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
—
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
—
W11996
MEDICARE PTAN - TYPE 2
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
01
—
W1514B
MEDICARE PTAN - TYPE 2
CA
Enumeration date
03/14/2006
Last updated
06/19/2019
Update your record
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