institution
Soraya Medical Group, Inc.
General Practice Physician in South Gate, California
NPI 1285782664

Soraya Medical Group, Inc. is a General Practice Physician based in South Gate, CA. Soraya Medical Group, Inc. practices in South Gate, CA. The NPI Number for Soraya Medical Group, Inc. is 1285782664 and holds a License No. RHC134869 (California).

The current practice location address for Soraya Medical Group, Inc. is 2701 Firestone Blvd, South Gate, CA and can be reached out via phone at 323-249-6162 and via fax at 323-563-0820. You can also correspond with Soraya Medical Group, Inc. through the mailing address at 2701 FIRESTONE BLVD STE W, SOUTH GATE, CA - 90280-2778 (mailing address contact number: 323-249-6162).

Location: 2701 Firestone Blvd, South Gate, CA, 90280-2778
institution
Provider Profile Details
NPI Number
1285782664
Provider Name
Soraya Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
2701 Firestone Blvd, South Gate, CA, 90280-2778
Phone Number
323-249-6162
Fax Number
323-563-0820
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ55357Z 01 CA BLUE CROSS BLUESHIELD
A465720 01 CA HMO I.D.
00A465720 01 CA PPO I.D
GR0080040 05 CA
GR0080041 05 CA
institution
Provider Business Practice Location Address Details
Address
2701 Firestone Blvd
City
State
Zip
90280-2778
Phone Number
323-249-6162
Fax Number
323-563-0820
person
Provider Business Mailing Address Details
Address
2701 Firestone Blvd
City
State
Zip
90280-2778
Phone Number
323-249-6162
Fax Number
323-563-0820
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
A46572 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
RHC134869 (California)
Definition
Definition to come...
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