Healthcare Provider Details

I. General information

NPI: 1033164017
Provider Name (Legal Business Name): HOUSECALL DOCTORS MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 01/17/2024
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 KILROY AIRPORT WAY STE 270
LONG BEACH CA
90806-2497
US

IV. Provider business mailing address

3800 KILROY AIRPORT WAY STE 270
LONG BEACH CA
90806-2497
US

V. Phone/Fax

Practice location:
  • Phone: 949-366-1053
  • Fax: 949-916-0387
Mailing address:
  • Phone: 949-366-1053
  • Fax: 949-916-0387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberCNC329272
License Number StateCA

VIII. Authorized Official

Name: DR. ARCHITA SOOD
Title or Position: PRESIDENT
Credential: M.D
Phone: 949-366-1053