Provider Demographics
NPI:1164507331
Name:OH, SCOTT S (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:S
Last Name:OH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1245 16TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1235
Mailing Address - Country:US
Mailing Address - Phone:310-449-0939
Mailing Address - Fax:310-449-0977
Practice Address - Street 1:1245 16TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1235
Practice Address - Country:US
Practice Address - Phone:310-449-0939
Practice Address - Fax:310-449-0977
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2010-07-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA2OA9037207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease