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Search › California › 163W00000X

Soo Ae Hendron

NPI 1851266423 · on the registry since 2025

Practice

Address
483 N Aviation Blvd
El Segundo, CA 90245
Phone
(310) 653-6032
Organisation at this address
61st Med Sq-Los Angeles
United States Space Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-18

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