NPI 1013750645

Sophorn Sonnie Sam

Practitioner Home Health Aide Long Beach, CA

Practice location

Address: 1515 E 20th St APT 1, Long Beach, CA 90806-5717
Phone: (562) 527-1093

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in California →

Registry record

NPI: 1013750645
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2024
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.