Healthcare Provider Details

I. General information

NPI: 1346535168
Provider Name (Legal Business Name): SOHRAB TOFIGH M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2011
Last Update Date: 12/08/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STEIN PLZ
LOS ANGELES CA
90095-7000
US

IV. Provider business mailing address

100 STEIN PLZ
LOS ANGELES CA
90095-7000
US

V. Phone/Fax

Practice location:
  • Phone: 310-206-4293
  • Fax:
Mailing address:
  • Phone: 310-825-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberBP10043765
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMDR-6092
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number136502
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: