Search › California › 104100000X
Sovann Mouth
NPI 1801518014 · on the registry since 2022
Practice
- Address
- 888 W Santa Ana Blvd Ste 150
Santa Ana, CA 92701 - Phone
- (562) 841-6315
- Organisation at this address
- Long Beach Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California