Sourm, Sophanny Long
Sourm, Sophanny Long is an sole proprietor health care provider with primary practice located at 265 S Anita Dr Ste 102-104 , Orange CA 92868-3355. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sourm, Sophanny Long can be contacted via phone (310) 945-3350.Contact Information
Primary practice address
265 S Anita Dr Ste 102-104
Orange CA 92868-3355
Phone: (310) 945-3350
Fax: (310) 945-3356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 95044680 | California |
Profile Details
| NPI number | 1891384566 |
|---|---|
| LBN Legal business name | Sourm, Sophanny Long |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2021 |
| Last updated | Dec 12th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Dinh, Tina T
4000 W Metropolitan Dr Ste 401 , Orange CA 92868-3506 -
Pearson, Ivan Occeno
265 S Anita Dr Ste 102-104 , Orange CA 92868-3355 -
Edwards, Gabriella Diedre
265 S Anita Dr # 102-104 , Orange CA 92868-3355 -
Hadley, Debbie Sumagang
265 S Anita Dr Ste 102-104 , Orange CA 92868-3355 -
Evidente, Jonathan Edward Panuelos
265 S Anita Dr Ste 102-104 , Orange CA 92868-3355 -
Fendt, Rhonda Margaret
265 S Anita Dr Ste 102-104 , Orange CA 92868-3355 -
Angeles, Raitchell C
265 S Anita Dr Ste 102-104 , Orange CA 92868-3355 -
Penales, Venn Wilfred Maderazo
265 S Anita Dr Ste 102-104 , Orange CA 92868-3355