Provider Demographics
NPI:1528096955
Name:SOHN, HELEN J (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:J
Last Name:SOHN
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 1:5565 GROSSMONT CENTER DR
Mailing Address - Street 2:STE 221
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3020
Mailing Address - Country:US
Mailing Address - Phone:619-462-8100
Mailing Address - Fax:619-462-7933
Practice Address - Street 1:5565 GROSSMONT CENTER DR
Practice Address - Street 2:STE 221
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3020
Practice Address - Country:US
Practice Address - Phone:619-462-8100
Practice Address - Fax:619-462-7933
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA87722208600000X
MA208942208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A877220OtherBLUE SHIELD PROVIDER NUMBER
CA00A877220Medicaid
CABL784YMedicare PIN