| Malini Soogoor, M.d. Inc | |
|
1687 Erringer Rd Ste 215 Simi Valley CA 93065 | |
| (805) 520-1191 | |
| (805) 426-8046 |
| Full Name | Malini Soogoor, M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1687 Erringer Rd Ste 215, Simi Valley, California |
| Authorized Official Name and Position | Malini Soogoor (PRESIDENT) |
| Authorized Official Contact | 8055201191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malini Soogoor, M.d. Inc Po Box 77790 Corona CA 92877-0126 Ph: (800) 626-2468 | Malini Soogoor, M.d. Inc 1687 Erringer Rd Ste 215 Simi Valley CA 93065 Ph: (805) 520-1191 |
| NPI Number | 1851425862 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 05/30/2018 |
| Medicare PECOS PAC ID | 7911006051 |
|---|---|
| Medicare Enrollment ID | O20070629000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851425862 | NPI | - | NPPES |
| 00A817230 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A 81723 (California) | Primary |
| Provider Name | Malini Soogoor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659328185 PECOS PAC ID: 6709889710 Enrollment ID: I20060811000437 |
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