MEDICARE: DR. RICHARD SOHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	235605	NY
2	207R00000X	Internal Medicine Physician	MD40703	TN
3	207R00000X	Internal Medicine Physician	C55035	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073595682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD SOHN MD

Provider Business Mailing Address
First Line	:	2525 CHERRY AVE STE 225
Second Line	:
City	:	SIGNAL HILL
State	:	CA
Zip	:	90755-2057
Country	:	US
Telephone Number	:	562-435-5753
Fax Number	:	562-216-9053

Provider Business Practice Location Address
First Line	:	6400 CANOGA AVE STE 163
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-2435
Country	:	US
Telephone Number	:	818-702-0100
Fax Number	:	818-702-1741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	03/11/2019

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