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MR. JEFFREY JOON-BUM SO MS PA-C NPI 1659600799


NPI Information

NPI: 1659600799
Provider Name: MR. JEFFREY JOON-BUM SO, MS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
421 N RODEO DR
TERRACE LEVEL, NORTH, 2ND FLOOR
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 274-5372
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MR. Jeffrey Joon-bum So, MS, PA-C is a medical physician assistant in Beverly Hills, CA with 15 years of experience. MR. Jeffrey Joon-bum So, MS, PA-C NPI is 1659600799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

421 N RODEO DR
TERRACE LEVEL, NORTH, 2ND FLOOR
BEVERLY HILLS, CA
ZIP 90210-500
Phone: (310) 274-5372
Fax: (310) 274-5380

The NPI 1659600799 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)

The enumeration date for this NPI number is 12/21/2009 and was last updated on 12/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA20727CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.