Healthcare Provider Details
I. General information
NPI: 1013128552
Provider Name (Legal Business Name): SOHEILA TORABI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/25/2007
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
146 N HILL ST
ARVIN CA
93203-1014
US
IV. Provider business mailing address
15400 VIA MILANO
BAKERSFIELD CA
93306-9568
US
V. Phone/Fax
- Phone: 661-855-4468
- Fax: 661-855-2024
- Phone: 310-702-0959
- Fax: 661-855-2024
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | A99332 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | A99332 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | A99332 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: