Provider Demographics
NPI:1699531376
Name:SOON, ALDAN MIKE
Entity type:Individual
Prefix:
First Name:ALDAN
Middle Name:MIKE
Last Name:SOON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 HUNTINGTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-5241
Mailing Address - Country:US
Mailing Address - Phone:949-415-4653
Mailing Address - Fax:
Practice Address - Street 1:3721 OLD HIGHWAY 99 S
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-9770
Practice Address - Country:US
Practice Address - Phone:949-415-4653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)