Active NPI
Leo Soohoo, M.A.
- Audiologist
- Las Vegas, NV
National Provider Identifier
1386641389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-113
- Practice address
- 4760 S Pecos Rd
#103-27
Las Vegas, NV 89121-5828 - Phone
- (702) 369-9706
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-113 | NV | Primary |
Addresses
Primary practice location
4760 S Pecos Rd
#103-27
Las Vegas, NV 89121-5828
Mailing address
9244 Evergreen Canyon Dr
Las Vegas, NV 89134-6059
Phone (702) 369-9706
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-113 | NV | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1386641389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9244 EVERGREEN CANYON DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346059",
"telephone_number": "702-369-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 S PECOS RD",
"address_2": "#103-27",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215828",
"telephone_number": "702-369-9706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOHOO",
"first_name": "LEO",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NV",
"license": "A-113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.