Roddy S Sooferian Md Medical Corporation

NPI 1194962399 - Internal Medicine - 207R00000X

NPI Details
NPI 1194962399
Enumeration Date 01/10/2009
Last Updated 01/28/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RODDY S. RODDY
Position CEO
Phone (310) 820-0013
Fax (310) 207-2630
Practice Location
1375 KELTON AVE
#109
LOS ANGELES CA, 90024-5499, US
Phone (310) 820-0013
Fax (310) 207-2630
Business Location
1375 KELTON AVE
#109
LOS ANGELES CA, 90024-5499, US
Phone (310) 820-0013
Fax (310) 207-2630
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A76881
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According to our database, Roddy S Sooferian Md Medical Corporation NPI is 1194962399, taxonomy code is 207R00000X and license number is A76881, license state is located at California. Roddy S Sooferian Md Medical Corporation physically located at 1375 Kelton Ave, Los Angeles CA, 90024-5499. NPI Number 1033115704 has the healthcare provider type.

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1194962399 NPI number is provided on an as is basis without warranty of any kind. 1194962399 is maintained by the National Plan & Provider Enumeration System. The contents of Roddy S Sooferian Md Medical Corporation are for informational purposes only.