EDDIE P. SO (NPI# 1518045178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518045178 |
| Entity Type | Individual |
| Full Name | EDDIE P. SO |
| Credential | MD |
| Practice Address |
73 Belbrook Way Atherton CA 94027-6405 |
| Practice Telephone | 6505619410 |
| Mailing Telephone | 6505619410 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G32466 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G324660 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265884001 | Eddie N So | Dentist | 41 E Foothill Blvd, Arcadia, CA 91006-2368 | 2016-07-05 |
| Street Address |
73 BELBROOK WAY |
| City | ATHERTON |
| State | CA |
| Zip Code | 94027-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992078984 | David Shen Dental Corp | Dentist | 3351 El Camino Real #222, Atherton, CA 94027 | 2012-02-22 |
| 1679074280 | George Alex Lazo Jr. | Psychologist | 3351 El Camino Real, Suite 100, Atherton, CA 94027 | 2018-02-28 |
| 1730442054 | Maria Esther Rivera | Pediatrics | 3351 El Camino Real Ste 100, Atherton, CA 94027 | 2012-06-21 |
| 1417074030 | Michelle Claudette Olsen | Dentist | 3351 El Camino Real, Ste. 222, Atherton, CA 94027 | 2007-03-26 |
| 1760584650 | Seyed Babak Mostaan | Dentist | 3301 El Camino Real, Ste 280, Atherton, CA 94027 | 2006-09-02 |
| 1912019464 | Nazila Doroodian | Dentist | 3301 El Camino Real, Ste 280, Atherton, CA 94027 | 2006-08-31 |
| 1053616136 | Virginia Marguerite Anderson | Psychologist | 19 Irving Ave, Atherton, CA 94027-2007 | 2011-01-20 |
| 1366457293 | Fatima Tehranchi | Internal Medicine | 37 Irving Ave, Atherton, CA 94027-2007 | 2006-07-29 |
| 1376645200 | Cyrus S. Safai | Radiology | 37 Irving Ave, Atherton, CA 94027-2007 | 2006-09-01 |
| 1679926224 | Robyn Comfort | Contractor | 84 James Ave, Atherton, CA 94027-2058 | 2016-07-19 |
| Find all providers in zip 94027 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.