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NPI Code Detail

MEDICARE: DR. HOWARD L SOFEN M.D.

MEDICARE:  DR. HOWARD L SOFEN  M.D.
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
1207N00000XDermatology PhysicianG47799CA

Other Identifiers

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

General Provider Information

NPI Number : 1124026554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD L SOFEN M.D.
Provider Business Mailing Address
First Line : 8930 S SEPULVEDA BLVD
Second Line : #114
City : LOS ANGELES
State : CA
Zip : 90045-3606
Country : US
Telephone Number : 310-337-7171
Fax Number : 310-337-1081
Provider Business Practice Location Address
First Line : 8930 S SEPULVEDA BLVD
Second Line : #114
City : LOS ANGELES
State : CA
Zip : 90045-3606
Country : US
Telephone Number : 310-337-7171
Fax Number : 310-337-1081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2005
Last Update Date : 03/18/2008

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Directions to “ DR. HOWARD L SOFEN M.D.” Practice Location

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