Individual ProviderSapon SoonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Medical Plaza Suite 700, Los Angeles, CA 90095-0001(310) 206-0367PECOS EnrollmentBased on the most recent information from CMS, provider Sapon Soon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1518649888Provider TypeIndividualFull NameSoon, SaponGenderMaleSole ProprietorYesEnumeration Date8/4/2023Last Updated8/5/2024Contact InformationPractice LocationPractice Address100 Medical Plaza Suite 700, Los Angeles, CA 90095-0001Phone(310) 206-0367FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95026205California