| Soglow IV Inc. | |
|
240 Main St San Mateo CA 94401-4036 | |
| (213) 761-5686 | |
| Not Available |
| Full Name | Soglow IV Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 240 Main St, San Mateo, California |
| Authorized Official Name and Position | Darius Roohani (OWNER) |
| Authorized Official Contact | 2137615686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soglow IV Inc. 240 Main St San Mateo CA 94401-4036 | Soglow IV Inc. 240 Main St San Mateo CA 94401-4036 Ph: (213) 761-5686 |
| NPI Number | 1285500553 |
|---|---|
| Provider Enumeration Date | 10/14/2025 |
| Last Update Date | 10/14/2025 |
| Certification Date | 10/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285500553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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