Provider Demographics
NPI:1407056617
Name:AN, ESTHER SOON (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:SOON
Last Name:AN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W CARSON ST
Mailing Address - Street 2:BOX 17
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2004
Mailing Address - Country:US
Mailing Address - Phone:310-222-1811
Mailing Address - Fax:310-328-0864
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:BOX 17
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-1811
Practice Address - Fax:310-328-0864
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA102477208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics