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NPI Code Detail

MEDICARE: MR. JAMES WILLIAM SOBIESKI RN

MEDICARE: MR. JAMES WILLIAM SOBIESKI RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95255154CA

General Provider Information

NPI Number : 1043162241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES WILLIAM SOBIESKI RN
Provider Business Mailing Address
First Line : 521 GRAND AVE
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-1636
Country : US
Telephone Number : 626-429-6918
Fax Number :
Provider Business Practice Location Address
First Line : 2051 MARENGO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1352
Country : US
Telephone Number : 626-429-6918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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