Soo Youn Si, DDS - Dentist in Sacramento, CA

Soo Youn Si, DDS is a Dentist based in Sacramento, California. Soo Youn Si is licensed to practice in California (license number DDS100686) and her current practice location is 40 Park City Ct Apt 1203, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at (734) 358-4749.

NPI number for Soo Youn Si is 1063962975 and her current mailing address is 40 Park City Ct Apt 1203, Sacramento, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063962975.

Contact Information

Soo Youn Si, DDS
40 Park City Ct Apt 1203,
Sacramento, CA 95831-3896
(734) 358-4749
Not Available



Healthcare Provider's Profile

Full NameSoo Youn Si
GenderFemale
SpecialityDentist
Location40 Park City Ct Apt 1203, Sacramento, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063962975
  • Provider Enumeration Date: 10/04/2016
  • Last Update Date: 10/04/2016

Medical Identifiers

Medical identifiers for Soo Youn Si such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063962975NPI-NPPES
XZA994688104OtherMNBLUE CROSS, BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DDS100686 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soo Youn Si is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Soo Youn Si, DDS
40 Park City Ct Apt 1203,
Sacramento, CA 95831-3896

Ph: () -
Soo Youn Si, DDS
40 Park City Ct Apt 1203,
Sacramento, CA 95831-3896

Ph: (734) 358-4749

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