Provider Demographics
NPI:1285701854
Name:SOOHOO, ANGELA FRANCES (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:FRANCES
Last Name:SOOHOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1419 CORDILLERAS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-4623
Mailing Address - Country:US
Mailing Address - Phone:650-591-9616
Mailing Address - Fax:650-591-9615
Practice Address - Street 1:525 SOUTH DR
Practice Address - Street 2:SUITE 215
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4213
Practice Address - Country:US
Practice Address - Phone:650-967-7471
Practice Address - Fax:650-967-8027
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA055088208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation