MEDICARE: DARYA SOOFI

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
1	104100000X	Social Worker	123250	CA

General Provider Information

NPI Number	:	1508713926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARYA SOOFI

Provider Business Mailing Address
First Line	:	2032 LAWTON ST APT 4
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-3250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 WOODSIDE RD STE 301
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94061-3458
Country	:	US
Telephone Number	:	650-262-1105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ DARYA SOOFI ” Practice Location

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