Kin Tak So, R.V.T

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

109278 Issued in CA

Practice address

1316 Stevens Ave
Unit B
San Gabriel, CA 91776-4477

Phone

(626) 818-7226

NPI assigned

Aug 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sos Doppler Mobile Imaging

  • Vascular Sonography Radiologic Technologist
  • San Gabriel, CA
  • NPI 1639362312
  NPD (past) Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1457544132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 STEVENS AVE",
            "address_2": "UNIT B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764477",
            "telephone_number": "626-818-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 STEVENS AVE",
            "address_2": "UNIT B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764477",
            "telephone_number": "626-818-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "KIN",
        "middle_name": "TAK",
        "name_prefix": "Mr.",
        "credential": "R.V.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "CA",
            "license": "109278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bik Yan Sonia Sit
• Sixth Optometric Care of California PC
• Smart Computer Inc.
• SMS Transportation Inc.
• Karen S Snyder, PSY.D.
• Social Vocational Services, Inc.
• Andrew Soliman, DDS
• Son Nguyen D.D.S., Inc.
• Sonus-USA, Inc.
• Sos Doppler Mobile Imaging

• Radiologic Technologist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.