Individual provider Active NPI

Soe Lwin Oo

  • Family Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1285251892
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A186106 Issued in CA
Practice address
525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone
(626) 573-2222
NPI assigned
Jun 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.077200 IL
Family Medicine Physician 207Q00000X A186106 CA Primary

Addresses

Primary practice location

525 N Garfield Ave
Monterey Park, CA 91754-1202

Mailing address

1680 S Garfield Ave Ste 204
Alhambra, CA 91801-5413
Phone (818) 839-5200

Other practice location 1

1625 E 75th St # 1
Chicago, IL 60649-3603
Phone (773) 947-7310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101002213 CA Practitioner - Family Practice 8729434410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
186106CAMDLicensed Vocational Nurse
A186106CAMDFamily Medicine Physician
125.077200ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Mar 17, 2025 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Astrana Care Hospitalists, a Medical Corporation CurrentSince Sep 19, 2023 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Mar 17, 2025 Accepting new patients
Friedell Clinic, S. C. Family Medicine PastSince Jul 1, 2020 Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1285251892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 S GARFIELD AVE STE 204",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015413",
            "telephone_number": "818-839-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541202",
            "telephone_number": "626-573-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 E 75th St # 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606493603",
            "country_code": "US",
            "telephone_number": "773-947-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OO",
        "first_name": "SOE LWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.077200",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A186106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.