Fred F Soeprono is a Dermatology in Loma Linda, California. Fred F Soeprono practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Fred F Soeprono is 1659485746. The last update date is 2023-01-08.
Fred F Soeprono's current location address is 25084 Barton Rd, Loma Linda, California. You can contact this provider via phone number 9097962211 and fax number 9097966937. The mailing address for Fred F Soeprono is 25084 Barton Rd, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred F Soeprono |
|---|---|
| Address | 25084 Barton Rd, Loma Linda, California |
| Phone Number | 9097962211 |
| Fax Number | 9097966937 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659485746 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2023-01-08 |
Provider Mailing Address Detail
| Address | 25084 Barton Rd |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 923542828 |
| Phone Number | 9097962211 |
| Fax Number | 9097966937 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | G28216 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G282160 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Fred F Soeprono by the Centers for Medicare & Medicaid Services?
The Fred F Soeprono has been issued the NPI (National Provider Identifier) 1659485746. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Fred F Soeprono's facilities are situated?
The facilities of Fred F Soeprono are physically located at the following address: 25084 Barton Rd, Loma Linda, CA, 923542828.
What is the Fred F Soeprono's area of specialization and corresponding taxonomy classification?
The Fred F Soeprono's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
When was the Fred F Soeprono's 1659485746 issued?
The Fred F Soeprono's 1659485746 was issued on 2006-08-18.
When was the information regarding Fred F Soeprono most recently updated?
The details pertaining to the Fred F Soeprono, including its address, specialty, and other relevant information, were last refreshed on 2023-01-08.
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