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NPI Code Detail

MEDICARE: SOPHIA SCOTT

MEDICARE: SOPHIA SCOTT
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1790619419
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA SCOTT
Provider Business Mailing Address
First Line : 98 S LOS ROBLES AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-2433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 98 S LOS ROBLES AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-2433
Country : US
Telephone Number : 888-576-3348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ SOPHIA SCOTT ” Practice Location

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