1. Home
  2. Directory
  3. California
  4. Fort Irwin
  5. Physician Assistant
  6. NPI Profile

HEESOO SOH
NPI 1275200396
Physician Assistant in Fort Irwin, CA

Active since August 26, 2021
BLDG 390 N LOOP RD, FORT IRWIN, CA 92310(714) 726-2755 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Aug 26, 2021 (2 updates tracked since 2021).

About Heesoo Soh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEESOO SOH (NPI 1275200396) is an individual physician assistant in Fort Irwin, California, licensed in Hawaii (1185911) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1275200396
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameHEESOO SOH
Location AddressBLDG 390 N LOOP RDFort Irwin, CA 92310
Mailing AddressBldg 390 N Loop RdFort Irwin, CA 92310
Phone(714) 726-2755
Sole ProprietorNo
Enumeration DateAugust 26, 2021
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1275200396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in HI · 1185911
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
BLDG 390 N LOOP RD, Fort Irwin, CA 92310
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL GREGG
Social Worker (Clinical)
BLDG 390 N LOOP RD
FORT IRWIN, CA 92310
San Bernardino County (760) 380-6302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heesoo Soh's NPI number?

The NPI number for Heesoo Soh is 1275200396. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Heesoo Soh located?

Heesoo Soh practices at Bldg 390 N Loop Rd, Fort Irwin, CA 92310. The listed phone number is (714) 726-2755.

What is Heesoo Soh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Heesoo Soh was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.