Individual provider · Type 1 NPI

Sekboppa Sor, FNP-C

Primary Care Nurse Practitioner · Garden Grove, CA

NPI number 1376005934 Active

Practice location

An Lanh Free Clinic, 10861 Acacia Pkwy.
Garden Grove, CA 92840

Call (714) 633-4600 Map

Mailing address

3450 Sawtelle Blvd., Apt. 349
Los Angeles, CA 90066

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95011130 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1376005934

Sekboppa Sor, FNP-C's National Provider Identifier is 1376005934, issued on Apr 3, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Garden Grove, CA. The record was last updated on Apr 3, 2019.