SOHA EBNEYAMIN (NPI# 1700261682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700261682 |
| Entity Type | Individual |
| Full Name | SOHA EBNEYAMIN |
| Credential | PA-C |
| Practice Address |
1537 15th St Apt 106 Santa Monica CA 90404-3351 |
| Practice Telephone | 3108040743 |
| Mailing Telephone | 3108040743 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52633 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1537 15TH ST APT 106 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| 1407176910 | Rene Farahmandian | Physician Assistant | 2021 Santa Monica Blvd Ste 600e, Santa Monica, CA 90404-2166 | 2010-06-07 |
| 1730412529 | Mari Patricia Freeman | Physician Assistant | 2021 Santa Monica Blvd 520e, Santa Monica, CA 90404 | 2009-09-10 |
| 1659466001 | Pinky R Thakkar | Physician Assistant | 2121 Santa Monica Blvd., Santa Monica, CA 90404 | 2006-10-03 |
| 1922050392 | Natasha Wright | Physician Assistant | 1331 Wilshire Blvd, Santa Monica, CA 90403-5410 | 2006-05-16 |
| 1174931679 | Michele Yacso | Physician Assistant | 1551 Ocean Ave, Ste. #200, Santa Monica, CA 90401-2108 | 2014-07-28 |
| 1063777217 | Carolyn Gayle Goble | Physician Assistant | 2020 Santa Monica Blvd, Suite 400, Santa Monica, CA 90404-2023 | 2012-07-12 |
| 1831482744 | Lauren Gorence | Physician Assistant | 1811 Wilshire Blvd Ste 201, Santa Monica, CA 90403-5626 | 2011-05-25 |
| 1912045022 | Angelina Yoon Snyder | Physician Assistant | 1711 Ocean Park Blvd, Santa Monica, CA 90405-4901 | 2007-02-01 |
| 1164560264 | Philomina Eyong | Physician Assistant | 1711 Ocean Park Blvd, Santa Monica, CA 90405-4901 | 2007-02-01 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on SOHA EBNEYAMIN.
| 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.