| Shahrzad Sorourbakhsh, MD | |
|
1134 Murrieta Blvd, Livermore, CA 94550-4113 | |
| (925) 449-7795 | |
| (925) 449-7953 |
| Full Name | Shahrzad Sorourbakhsh |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1134 Murrieta Blvd, Livermore, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790755163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 209894 (Massachusetts) | Secondary |
| 208000000X | Pediatrics | A77260 (California) | Primary |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Shahrzad Sorourbakhsh, MD 1134 Murrieta Blvd, Livermore, CA 94550-4113 Ph: (925) 449-7795 | Shahrzad Sorourbakhsh, MD 1134 Murrieta Blvd, Livermore, CA 94550-4113 Ph: (925) 449-7795 |
Yineth Rocio Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1133 E Stanley Blvd, #103, Livermore, CA 94550 Phone: 925-455-5050 Fax: 925-455-5084 | |
Brita Moilanen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1134 Murrieta Blvd, Ste A, Livermore, CA 94550 Phone: 925-449-7795 Fax: 925-449-7953 | |
Bruce M Gach, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1133 E Stanley Blvd, #103, Livermore, CA 94550 Phone: 925-455-5050 Fax: 925-455-5084 | |
Mrs. Rakhi Mehrotra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7683 Southfront Rd, Livermore, CA 94551 Phone: 800-478-8837 | |
Dr. Raquel Natalia Nieves, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1133 E Stanley Blvd Ste 103, Livermore, CA 94550 Phone: 925-455-5050 Fax: 925-455-5084 | |
Johnette K Leikam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1133 E Stanley Blvd, #103, Livermore, CA 94550 Phone: 925-455-5050 Fax: 925-667-2122 | |
Sharon Krejci Mowat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 Las Positas Rd, Livermore, CA 94551 Phone: 925-243-2600 |