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NPI Code Detail

MEDICARE: DR. NADER SOBH D.O.

MEDICARE: DR. NADER SOBH D.O.
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
1207Q00000XFamily Medicine Physician20A-14400CA

General Provider Information

NPI Number : 1952766925
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADER SOBH D.O.
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 :
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 : 951-833-3712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2015
Last Update Date : 01/04/2022

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Directions to “ DR. NADER SOBH D.O.” Practice Location

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