SOUK LUANGSRINHOTHA (NPI# 1972090652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972090652 |
| Entity Type | Individual |
| Full Name | SOUK LUANGSRINHOTHA |
| Practice Address |
5021 Rosso Ct Salida CA 95368-9066 |
| Practice Telephone | 2098556900 |
| Mailing Telephone | 2098556900 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5021 ROSSO CT |
| City | SALIDA |
| State | CA |
| Zip Code | 95368-9066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730144 | Modesto Mobile Imaging Services | Clinic/Center | 5021 Rosso Ct, Salida, CA 95368-9066 | 2019-09-26 |
| 1548810336 | Souk Luangsrinhotha Modesto Mobile Imaging Services | Radiologic Technologist | 5021 Rosso Ct, Salida, CA 95368-9066 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710390653 | Sajida Khan | Technician | 5020 Tamara Way, Salida, CA 95368 | 2014-06-09 |
| 1891112561 | Quality Care Transportation Inc | Non-emergency Medical Transport (VAN) | 5600 Pirrone Rd, Salida, CA 95368 | 2014-03-19 |
| 1104253046 | Teri Lynn Collet | Social Worker | 5032 Treetop Dr., Salida, CA 95368 | 2013-10-10 |
| 1265785588 | Jonathan Edward Bruno | Behavioral Analyst | 5716 Pirrone Rd., Salida, CA 95368 | 2012-10-24 |
| 1821440645 | Terra Oehler | Behavioral Analyst | 5716 Pirrone Rd, Salida, CA 95368 | 2016-07-05 |
| 1760862148 | California Imaging Partners, Inc. | Radiology | 4536 Broadway Unit 906, Salida, CA 95368-2037 | 2015-06-01 |
| 1013406248 | Up Care Med LLC | Internal Medicine | 4605 Old Mill Ct, Salida, CA 95368-8015 | 2018-05-03 |
| 1376856856 | Kimberlee Ann Hamilton | Case Manager/Care Coordinator | 4504 Sun Down Pl, Salida, CA 95368-8020 | 2010-07-26 |
| 1104323740 | Life Saving Images Inc | Clinic/Center | 5628 Pirrone Rd, Salida, CA 95368-8203 | 2018-04-10 |
| 1124290531 | Marinello Manuel | Dentist | 5604 Pirrone Rd, Salida, CA 95368-8203 | 2008-03-25 |
| Find all providers in zip 95368 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303665 | Jeffrey Chan | Radiologic Technologist | 2735 Ulloa St, San Francisco, CA 94116-2321 | 2020-07-17 |
| 1275098675 | California Mobile Imaging LLC | Radiologic Technologist | 3649 W Beechwood Ave Ste 106, Fresno, CA 93711-0693 | 2019-02-10 |
| 1669960068 | Tracey Saucier | Radiologic Technologist | 6342 Fallbrook Ave Ste 102, Woodland Hills, CA 91367-1613 | 2018-05-01 |
| 1013454123 | Thanhtrang Dinh | Radiologic Technologist | 1725 W 17th St Rm 101e, Santa Ana, CA 92706-2316 | 2017-01-26 |
| 1427401512 | Ashim Haydar Ali | Radiologic Technologist | 8900 Thornton Rd Ste 24, Stockton, CA 95209-1820 | 2016-07-13 |
| 1952758963 | Kevin Schuman | Radiologic Technologist | 8042 Tuscany St, Fontana, CA 92336-3800 | 2016-05-19 |
| 1154782373 | Damian Dejesus | Radiologic Technologist | 2204 Auberry Ave, Bakersfield, CA 93304-7268 | 2016-03-15 |
| 1487023149 | Yasuhide Mikami | Radiologic Technologist | 710 E Keats Ave, Fresno, CA 93710-7022 | 2015-09-23 |
| 1518334630 | Hun Choe | Radiologic Technologist | 41 Muirfield, Trabuco Canyon, CA 92679-3421 | 2015-08-24 |
| 1013393404 | Rebeka Gevorgyan | Radiologic Technologist | 5544 W Palo Alto Ave, Fresno, CA 93722-3013 | 2015-08-07 |
| 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.