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NPI Code Detail

MEDICARE: DR. PAUL BERNARD SOBELMAN M.D.

MEDICARE: DR. PAUL BERNARD SOBELMAN M.D.
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
1207Q00000XFamily Medicine PhysicianG039274CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080151839OTHERCARAILROAD MEDICARE

General Provider Information

NPI Number : 1427052257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL BERNARD SOBELMAN M.D.
Provider Business Mailing Address
First Line : 1212 GOLD STRIKE DR
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-9426
Country : US
Telephone Number : 530-622-8183
Fax Number :
Provider Business Practice Location Address
First Line : 1000 FOWLER WAY
Second Line : STE 7
City : PLACERVILLE
State : CA
Zip : 95667-5738
Country : US
Telephone Number : 530-295-0608
Fax Number : 530-295-0328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 09/25/2008

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