Provider Demographics
NPI:1497943781
Name:SOOIL LLC
Entity Type:Organization
Organization Name:SOOIL LLC
Other - Org Name:SOOIL USA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOO
Authorized Official - Middle Name:BONG
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-404-0659
Mailing Address - Street 1:5677 OBERLIN DR
Mailing Address - Street 2:#101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1740
Mailing Address - Country:US
Mailing Address - Phone:858-404-0659
Mailing Address - Fax:858-404-0747
Practice Address - Street 1:5677 OBERLIN DR
Practice Address - Street 2:#101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1740
Practice Address - Country:US
Practice Address - Phone:858-404-0659
Practice Address - Fax:858-404-0747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies