Dr. Kenneth Soohoo, M.D.
Anesthesiology in Northridge, CA. Individual provider (NPI-1).
NPI number1477528255
StatusActive
Last updated in NPPESDec 15, 2009
Details
- NPI
- 1477528255
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Soohoo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2006
- Last updated
- Dec 15, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | G63312 | CA | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | G63312 | CA |
Practice location
18300 Roscoe BlvdNorthridge, CA 91325-4105
Phone 818-885-5375 · Fax 818-715-1722
Mailing address
Po Box 7001Tarzana, CA 91357-7001
Phone 818-888-7815 · Fax 818-715-1722
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