Sothy L Pheng MD A Professional Corporation
NPI 1407495815ActiveOrganization· Internal Medicine· Fullerton, CA
Internal Medicine in Fullerton, California, registered in NPPES in January 2020. The authorized official on file is Sothy Lun Pheng, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407495815 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2020 |
| Last updated in NPPES | Jan 2, 2020 |
| Certified by provider | Jan 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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