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NPI Code Detail

MEDICARE: DR. SOPHIA SUPRAI D.C.

MEDICARE:  DR. SOPHIA  SUPRAI  D.C.
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
1111N00000XChiropractorDC33504CA

General Provider Information

NPI Number : 1427411610
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOPHIA SUPRAI D.C.
Provider Business Mailing Address
First Line : 6049 DOUGLAS BLVD STE 4
Second Line :
City : GRANITE BAY
State : CA
Zip : 95746-6249
Country : US
Telephone Number : 916-872-1999
Fax Number : 916-872-1919
Provider Business Practice Location Address
First Line : 6049 DOUGLAS BLVD STE 4
Second Line :
City : GRANITE BAY
State : CA
Zip : 95746-6249
Country : US
Telephone Number : 916-872-1999
Fax Number : 916-872-1919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 05/13/2026

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Directions to “ DR. SOPHIA SUPRAI D.C.” Practice Location

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