MEDICARE: CARLOS SOBRAL 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	207Q00000X	Family Medicine Physician	A30422	CA

General Provider Information

NPI Number	:	1891796603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS SOBRAL MD

Provider Business Mailing Address
First Line	:	279 IMPERIAL HWY
Second Line	:	SUITE 730
City	:	FULLERTON
State	:	CA
Zip	:	92835-1041
Country	:	US
Telephone Number	:	714-449-4841
Fax Number	:	714-449-4956

Provider Business Practice Location Address
First Line	:	2720 N HARBOR BLVD
Second Line	:	SUITE 100
City	:	FULLERTON
State	:	CA
Zip	:	92835-2609
Country	:	US
Telephone Number	:	714-449-6900
Fax Number	:	714-680-8766

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	04/30/2013

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Directions to “ CARLOS SOBRAL MD” Practice Location

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