Provider Demographics
NPI:1093194987
Name:SOKLEY KHOI, PHD PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:SOKLEY KHOI, PHD PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOKLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-393-6224
Mailing Address - Street 1:3011 BAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-6304
Mailing Address - Country:US
Mailing Address - Phone:510-393-6224
Mailing Address - Fax:510-521-8459
Practice Address - Street 1:2515 SANTA CLARA AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-4660
Practice Address - Country:US
Practice Address - Phone:510-393-6224
Practice Address - Fax:510-521-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-25
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16685103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty