| Sofer Medical Corporation | |
|
8929 Wilshire Blvd Ste 102 Beverly Hills CA 90211-1950 | |
| (310) 447-8502 | |
| Not Available |
| Full Name | Sofer Medical Corporation |
|---|---|
| Speciality | Otolaryngology |
| Location | 8929 Wilshire Blvd Ste 102, Beverly Hills, California |
| Authorized Official Name and Position | Elazar Sofer (OWNER) |
| Authorized Official Contact | 3104478502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sofer Medical Corporation 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (877) 258-6331 | Sofer Medical Corporation 8929 Wilshire Blvd Ste 102 Beverly Hills CA 90211-1950 Ph: (310) 447-8502 |
| NPI Number | 1255985594 |
|---|---|
| Provider Enumeration Date | 07/25/2019 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 0840520359 |
|---|---|
| Medicare Enrollment ID | O20190926001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255985594 | NPI | - | NPPES |
| 273385 | Other | NY | LICENSE |
| A127445 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | (* (Not Available)) | Primary |
| Provider Name | Elazar Sofer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205124815 PECOS PAC ID: 7113286113 Enrollment ID: I20180120000018 |
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