| Timothy Socheta So, PA | |
|
1627 E. Anaheim Street, Long Beach, CA 90813-3809 | |
| (562) 437-0373 | |
| (562) 591-9646 |
| Full Name | Timothy Socheta So |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1627 E. Anaheim Street, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811901960 | NPI | - | NPPES |
| PA13276 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13276 (California) | Primary |
| Entity Name | Serenity Care Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245623156 PECOS PAC ID: 1658637202 Enrollment ID: O20171114002945 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Socheta So, PA 200 Oceangate, Ste #100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Timothy Socheta So, PA 1627 E. Anaheim Street, Long Beach, CA 90813-3809 Ph: (562) 437-0373 |
Meggan Chappell, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3833 Worsham Ave Ste 300, Long Beach, CA 90808 Phone: 562-595-5421 Fax: 562-426-2862 |
Elizabeth Mary Zaarour, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-249-4575 |
Mrs. Lindsay B Hutchinson, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2220 Clark Ave, Long Beach, CA 90815 Phone: 562-597-4181 Fax: 562-597-7083 |
Mrs. Jacqueline Barbour White, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2701 Atlantic Ave, Suite B, Long Beach, CA 90806 Phone: 562-933-2998 Fax: 562-933-8080 |
Catherine Le, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3530 Atlantic Ave, Long Beach, CA 90807 Phone: 562-988-8818 |
Johanna Perez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5190 Atlantic Ave, Long Beach, CA 90805 Phone: 818-996-1051 |
Mr. David Hoai Cao, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 540 E Artesia Blvd, Long Beach, CA 90805 Phone: 562-423-3383 |