| Roddy S Sooferian Md Medical Corporation | |
|
1375 Kelton Ave #109 Los Angeles CA 90024-5499 | |
| (310) 820-0013 | |
| (310) 207-2630 |
| Full Name | Roddy S Sooferian Md Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1375 Kelton Ave, Los Angeles, California |
| Authorized Official Name and Position | Roddy S. Sooferian (CEO) |
| Authorized Official Contact | 3108200013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roddy S Sooferian Md Medical Corporation 1375 Kelton Ave #109 Los Angeles CA 90024-5499 Ph: (310) 820-0013 | Roddy S Sooferian Md Medical Corporation 1375 Kelton Ave #109 Los Angeles CA 90024-5499 Ph: (310) 820-0013 |
| NPI Number | 1194962399 |
|---|---|
| Provider Enumeration Date | 01/10/2009 |
| Last Update Date | 01/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194962399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A76881 (California) | Primary |
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