Kenneth M Soohoo MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G63312 Issued in CA

Legal business name

KENNETH M SOOHOO MD INC

Practice address

18300 Roscoe Blvd
Northridge, CA 91325-4105

Phone

(818) 885-8500

Fax

(818) 715-1722

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Soohoo, M.D.

Title

Direct Owner

Phone

(818) 888-7815

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1528029667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254105",
            "telephone_number": "818-885-8500",
            "fax_number": "818-715-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M SOOHOO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "SOOHOO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "818-888-7815",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G63312",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G63312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole C. Kelleher, M.D.
• Victoria Rose Kelley
• Anastasia Kendrick-Adey, MD
• Sarah Kendzior
• Kenneth J. Richland, M.D., Inc.
• William G Kent, PA
• Farnaz S Kerendi, PHD
• Joseph Kerendian, MD
• Marc M Kerner, MD
• Jennifer Kersker

• Anesthesiology Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Anesthesiology Physician in California

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

Verify at the official NPI Registry.