Socal Diagnostics LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

SOCAL DIAGNOSTICS LLC

Practice address

1500 S Anaheim Blvd
Suite 160
Anaheim, CA 92805-6242

Phone

(657) 999-5679

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jason Aaron Walter David

Title

Member

Phone

(657) 999-5679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1407200546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S ANAHEIM BLVD",
            "address_2": "SUITE 160",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056242",
            "telephone_number": "657-999-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S ANAHEIM BLVD",
            "address_2": "SUITE 160",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056242",
            "telephone_number": "657-999-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "AARON WALTER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "657-999-5679",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther So
• Norma NG So, MD
• Suen Kiu So, PHARMD
• Cecilia Soberanis, PPS SCHOOL COUNSELIN
• Doosa Sobouti-Yanes, MD
• Socal Medical Services LLC
• Socal Medical Supplies
• Socal Therapy Services LLC
• Susan G Socha, DO
• Sodhi Enterprise

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.