Look up the most recent NPI and PECOS records

Eileen Linda So

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

757 Westwood Plz, Los Angeles, CA 90095-6803

PECOS Enrollment

This provider is enrolled in PECOS as EILEEN SO.

Based on the most recent information from CMS, provider Eileen Linda So is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:00 PM.

Profile Details

Provider ID
1447988126
Provider Type
Individual
Full Name
So, Eileen Linda
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/10/2022
Last Updated
8/5/2024

Contact Information

Practice Location

757 Westwood Plz, Los Angeles, CA 90095-6803

(310) 206-6232

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LA2100X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95023757 California
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 95100998 California

Eileen Linda So

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Dunn, Gabriella

Orloff, Tatiana N

Rhodes, Claire Elizabeth

Said, Vickey J

Rudolph, Andrea Christine

Correa, Jennifer Marie

Alcantara, Aileen June

Peralta, Joyce V

Adkins, Danica Helen Whisman

Mariano, Kevin Larry Garcia