| Sohma Integrative Medicine | |
|
4195 N Viking Way Ste F Long Beach CA 90808-1470 | |
| (562) 420-2112 | |
| (562) 420-2110 |
| Full Name | Sohma Integrative Medicine |
|---|---|
| Speciality | General Practice |
| Location | 4195 N Viking Way Ste F, Long Beach, California |
| Authorized Official Name and Position | Michael A Woo-ming (OWNER) |
| 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 Medicine 4195 N Viking Way Ste F Long Beach CA 90808-1470 Ph: (562) 420-2112 | Sohma Integrative Medicine 4195 N Viking Way Ste F Long Beach CA 90808-1470 Ph: (562) 420-2112 |
| NPI Number | 1205475738 |
|---|---|
| Provider Enumeration Date | 01/01/2020 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 6103256110 |
|---|---|
| Medicare Enrollment ID | O20200415000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205475738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Michael Woo-ming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558623371 PECOS PAC ID: 2062324726 Enrollment ID: I20041005000612 |
| Provider Name | Jonathon Dawson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114343274 PECOS PAC ID: 6002138781 Enrollment ID: I20141208001950 |
| Provider Name | Daniel C Hoover |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639578859 PECOS PAC ID: 8527388248 Enrollment ID: I20150520002686 |
| Provider Name | Aja Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205383064 PECOS PAC ID: 8820378607 Enrollment ID: I20161213002751 |
| Provider Name | Carolina Sciambia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710425814 PECOS PAC ID: 8729322540 Enrollment ID: I20181205003098 |
| Provider Name | Kevin H Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861930646 PECOS PAC ID: 0345585907 Enrollment ID: I20181231000913 |
| Provider Name | Jayashriben Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205384948 PECOS PAC ID: 2466731633 Enrollment ID: I20191016002513 |
| Provider Name | Lisa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770116808 PECOS PAC ID: 0143641118 Enrollment ID: I20201124002917 |
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