What is Ken Soryadvongsa's NPI number?

Ken Soryadvongsa's National Provider Identifier (NPI) is 1295469930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ken Soryadvongsa's specialty?

Ken Soryadvongsa is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Ken Soryadvongsa located?

Ken Soryadvongsa's practice location on file with NPPES is 928 Broadway, San Diego, CA 92101-5514.

What is Ken Soryadvongsa's phone number?

The practice phone number listed in the NPPES registry for Ken Soryadvongsa is (619) 977-3716.

Is Ken Soryadvongsa's NPI active?

Yes — Ken Soryadvongsa's NPI (1295469930) is active in the NPPES registry as of the last update on 2022-07-15.

IndividualActive

Ken Soryadvongsa

NPI 1295469930 · Mental Health Counselor · San Diego, CA

Ken Soryadvongsa is a Mental Health Counselor provider in San Diego, CA (NPI 1295469930).

Provider details

NPI number: 1295469930
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

928 Broadway

San Diego, CA 92101-5514

Phone: (619) 977-3716

Street-level locationGet directions

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Mailing address