Healthcare Provider Details

I. General information

NPI: 1255512836
Provider Name (Legal Business Name): SOPHIE FRANCOISE DURIEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2007
Last Update Date: 08/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 BRIGHTON WAY SUITE 407
BEVERLY HILLS CA
90210-4714
US

IV. Provider business mailing address

9400 BRIGHTON WAY SUITE 407
BEVERLY HILLS CA
90210-4714
US

V. Phone/Fax

Practice location:
  • Phone: 310-271-8407
  • Fax: 310-271-8406
Mailing address:
  • Phone: 310-271-8407
  • Fax: 310-271-8406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA81912
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: