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General NPI Number Information
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NPI Number | 1265037352
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Entity Type | Organization
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Legal Business Name | OXFORD PHYSICIANS MEDICAL GROUP INC
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 8331 BLERIOT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90045
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Country | US
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Telephone | 310-622-5369
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Fax | 888-413-9650
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Provider Business Mailing Address
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Address Line | 4712 ADMIRALTY WAY # 941
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City | MARINA DEL REY
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State | CA
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Zip | 90292
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGIST
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Name | ALEXANDER SOROKURS
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Credential | M.D.
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Telephone | 310-622-5369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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