TIMOTHY SO, PA
Physician Assistant
Active
Individual
NPI: 1811901960
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA13276 (CA) |
Frequently Asked Questions
NPI 1811901960 is the National Provider Identifier for TIMOTHY SO, PA, a Physician Assistant provider located in Long Beach, CA. This NPI was enumerated on July 27, 2006.
TIMOTHY SO, PA practices at 1627 E. ANAHEIM STREET, Long Beach, CA 90813.
Quick Facts
- NPI
- 1811901960
- Type
- Individual
- Enumerated
- Jul 27, 2006
- Last Updated
- Oct 14, 2009
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