| Sohma Integrative Health Center | |
|
4195 N Viking Way Suite F Long Beach CA 90808 | |
| (562) 420-2112 | |
| (562) 420-2110 |
| Full Name | Sohma Integrative Health Center |
|---|---|
| Speciality | Chiropractor |
| Location | 4195 N Viking Way, Long Beach, California |
| Authorized Official Name and Position | Daniel Hoover (PRESIDENT) |
| Authorized Official Contact | 5624202112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sohma Integrative Health Center 4195 N Viking Way Suite F Long Beach CA 90808-1466 Ph: (562) 420-2112 | Sohma Integrative Health Center 4195 N Viking Way Suite F Long Beach CA 90808 Ph: (562) 420-2112 |
| NPI Number | 1376941146 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 05/27/2024 |
| Certification Date | 05/27/2024 |
| Medicare PECOS PAC ID | 7810313475 |
|---|---|
| Medicare Enrollment ID | O20200813002773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376941146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 28510 (California) | Secondary |
| 111N00000X | Chiropractor | 16178 (California) | Primary |
| 171100000X | Acupuncturist | 33029 (California) | Secondary |
| Provider Name | Daniel C Hoover |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639578859 PECOS PAC ID: 8527388248 Enrollment ID: I20150520002686 |
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