What is Sovannary Bou's NPI number?

Sovannary Bou's National Provider Identifier (NPI) is 1417223504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Sovannary Bou's specialty?

Sovannary Bou is listed in the NPPES registry with a primary specialty of Licensed Psychiatric Technician (Nursing Service Providers).

Where is Sovannary Bou located?

Sovannary Bou's practice location on file with NPPES is 1212 N California St, Stockton, CA 95202-1552.

What is Sovannary Bou's phone number?

The practice phone number listed in the NPPES registry for Sovannary Bou is (209) 468-8750.

Is Sovannary Bou's NPI active?

Yes — Sovannary Bou's NPI (1417223504) is active in the NPPES registry as of the last update on 2012-03-22.

IndividualActive

Sovannary Bou

NPI 1417223504 · Licensed Psychiatric Technician · Stockton, CA

Sovannary Bou is a Licensed Psychiatric Technician provider in Stockton, CA (NPI 1417223504).

Provider details

NPI number: 1417223504
Entity type: Individual
Primary specialty: Licensed Psychiatric TechnicianNursing Service Providers
Sex: Female
Sole proprietor: No
License: PT 35993 (CA)

Specialties & taxonomies

Licensed Psychiatric TechnicianPrimary167G00000XLicense PT 35993 (CA)
Nursing Service Providers

Profile Score

Detailed profile(80/100 index)

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

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% 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

1212 N California St

Stockton, CA 95202-1552

Phone: (209) 468-8750

Street-level locationGet directions

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Mailing address