Behrooz David Soofer in Los Angeles - Podiatrist

Behrooz David Soofer - NPI 1891789798

Behrooz David Soofer is a Podiatrist in Los Angeles, California. Behrooz David Soofer practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Behrooz David Soofer is 1891789798. The last update date is 2023-11-18.

Behrooz David Soofer's current location address is 10379 Eastborne Ave, Los Angeles, California. You can contact this provider via phone number 3104308870 and fax number 3234320860. The mailing address for Behrooz David Soofer is 10379 Eastborne Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Behrooz David Soofer
Address 10379 Eastborne Ave, Los Angeles, California
Phone Number 3104308870
Fax Number 3234320860
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1891789798
Provider Enumeration Date 2005-09-07
Last Updated Date 2023-11-18

Provider Mailing Address Detail

Address 10379 Eastborne Ave
City Los Angeles
State California (CA)
Post Code 900245364
Phone Number 3104308870
Fax Number 3234320860

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E4059
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E40591 CA BLUESHIELD
E4059 CA BLUE CROSS
E4059 LICENSE NUMBER
000E40592 CA --
480031462 CA MEDICARE RAILROAD

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FAQs about Behrooz David Soofer

What is the unique 10-digit identifier code assigned to Behrooz David Soofer by the Centers for Medicare & Medicaid Services?

The Behrooz David Soofer has been issued the NPI (National Provider Identifier) 1891789798 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Behrooz David Soofer is physically located?

The Behrooz David Soofer is situated at the following address: 10379 Eastborne Ave, Los Angeles, CA 900245364.

What is Behrooz David Soofer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Behrooz David Soofer is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1891789798 to Behrooz David Soofer?

The Centers for Medicare & Medicaid Services originally issued the 1891789798 to Behrooz David Soofer on 2005-09-07.

When was the information pertaining to Behrooz David Soofer most recently updated or revised?

The details related to Behrooz David Soofer, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-18.

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