Healthcare Provider Details

I. General information

NPI: 1780885053
Provider Name (Legal Business Name): DAVID SOCOL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 DEEP VALLEY DR STE 200
ROLLING HILLS ESTATES CA
90274-3614
US

IV. Provider business mailing address

609 DEEP VALLEY DR STE 200
ROLLING HILLS ESTATES CA
90274-3614
US

V. Phone/Fax

Practice location:
  • Phone: 310-561-4021
  • Fax: 213-375-1339
Mailing address:
  • Phone: 310-561-4021
  • Fax: 213-375-1339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA061165
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: