Sophia Dolan Kall

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCS17259 Issued in CA

Practice address

2100 N Sepulveda Blvd Ste 36
Manhattan Beach, CA 90266-2958

Phone

(310) 490-5710

NPI assigned

Sep 6, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1275182867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 TEJON PL",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741204",
            "telephone_number": "562-385-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD STE 36",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662958",
            "telephone_number": "310-490-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALL",
        "first_name": "SOPHIA",
        "middle_name": "DOLAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17259",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS17259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine K Jones, MD
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• Chiaki Miura Jutabha, MD
• Amy Lynn Kahn, M.A.
• Masaaki Alexander Kamiya
• Marie Jo Kane, DC
• Christine Kao, D.O.
• Alireza Karimi, DDS
• Shanel Shireen Kashef

• Social Worker in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.