Clinton John Soppe in Santa Monica - Sports Medicine
Clinton John Soppe - NPI 1114114238
Clinton John Soppe is a Sports Medicine in Santa Monica, California. Clinton John Soppe practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Clinton John Soppe is 1114114238. The last update date is 2021-11-04.
Clinton John Soppe's current location address is 2020 Santa Monica Blvd, Santa Monica, California. You can contact this provider via phone number 3108292663. The mailing address for Clinton John Soppe is 2020 Santa Monica Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clinton John Soppe |
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Address | 2020 Santa Monica Blvd, Santa Monica, California |
Phone Number | 3108292663 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1114114238 |
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Provider Enumeration Date | 2007-10-02 |
Last Updated Date | 2021-11-04 |
Provider Mailing Address Detail
Address | 2020 Santa Monica Blvd |
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City | Santa Monica |
State | California (CA) |
Post Code | 904042023 |
Phone Number | 3108292663 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Licence No | A94941 |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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What is the unique 10-digit identifier code assigned to Clinton John Soppe by the Centers for Medicare & Medicaid Services?
The Clinton John Soppe has been issued the NPI (National Provider Identifier) 1114114238 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Clinton John Soppe's physical address?
The Clinton John Soppe is physically located at 2020 Santa Monica Blvd, in the city of Santa Monica, CA, with the postal code 904042023.
What is Clinton John Soppe's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clinton John Soppe's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114114238 to Clinton John Soppe?
The Centers for Medicare & Medicaid Services originally issued the 1114114238 to Clinton John Soppe on 2007-10-02.
As of what date were the details related to Clinton John Soppe most recently updated or revised?
The information pertaining to Clinton John Soppe, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-04.