Individual
SOOCHUEN TRICIA KHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 S MOORPARK RD, THOUSAND OAKS, CA 91361-1008
(805) 379-9646
(805) 379-0611
Mailing address
2876 SYCAMORE DR, STE 303, SIMI VALLEY, CA 93065-1550
(805) 379-9646
(805) 379-0611
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A79475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00957562
MEDICARE RAILROAD
CA
Enumeration date
07/06/2006
Last updated
04/07/2016
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