NPIMap

Organization Active NPI

Soo Jin Cha O.D., Inc

  • Optometrist
  • La Habra, CA
National Provider Identifier
1396969853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11412T Issued in CA
Legal business name
SOO JIN CHA O.D., INC
Practice address
101 N Beach Blvd
La Habra, CA 90631-4468
Phone
(562) 697-7365
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Soo Jin Cha, O.D.NPI 1952525503
Title
Ceo
Phone
(714) 213-6153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11412T CA Primary

Addresses

Primary practice location

101 N Beach Blvd
La Habra, CA 90631-4468

Mailing address

1841 W Falmouth Ave
Anaheim, CA 92801-7714

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396969853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 W FALMOUTH AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928017714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N BEACH BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314468",
            "telephone_number": "562-697-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO JIN CHA O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "SOO JIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-213-6153",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11412T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.