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NPI Code Detail

MEDICARE: NADER SOBH INC

MEDICARE: NADER SOBH INC
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
1207QS0010XSports Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1447891924
Entity Type Code : Organization
Provider Name (Legal Business Name) : NADER SOBH INC
Provider Business Mailing Address
First Line : 1335 N LA BREA AVE STE 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7565
Country : US
Telephone Number : 951-833-3712
Fax Number :
Provider Business Practice Location Address
First Line : 1335 N LA BREA AVE STE 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7565
Country : US
Telephone Number : 818-696-0091
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : NADER SOBH
Credential : DO
Telephone Number : 951-833-3712
Provider Enumeration Date : 10/04/2019
Last Update Date : 01/04/2022

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Directions to “NADER SOBH INC ” Practice Location

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