Active NPI
Ryan Soo Hoo
- Pharmacist
- Alhambra, CA
National Provider Identifier
1124876941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81447
- Practice address
- 215 E Main St
Alhambra, CA 91801-3518 - Phone
- (949) 688-7075
- NPI assigned
- May 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 81447 | CA | Primary |
Addresses
Primary practice location
215 E Main St
Alhambra, CA 91801-3518
Mailing address
3409 Casco CT
Hacienda Heights, CA 91745-6607
Phone (626) 807-9978
Other practice location 1
23141 Verdugo Dr Ste 103
Laguna Hills, CA 92653-1341
Phone (949) 688-7075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81447 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dazzle Health P C | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Irvine, CA
- NPI 1578301495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1124876941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 CASCO CT",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917456607",
"telephone_number": "626-807-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MAIN ST",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013518",
"telephone_number": "949-688-7075"
}
],
"practiceLocations": [
{
"address_1": "23141 Verdugo Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926531341",
"country_code": "US",
"telephone_number": "949-688-7075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOO HOO",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-07",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.