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Behrooz David Soofer, DPM
Podiatrist in Los Angeles, California
NPI 1891789798

Behrooz David Soofer is a Podiatrist based in Los Angeles, CA. Behrooz David Soofer practices in Los Angeles, CA and has the professional credentials of DPM. The NPI Number for Behrooz David Soofer is 1891789798 and holds a License No. E4059 (California).

The current practice location address for Behrooz David Soofer is 10379 Eastborne Ave, Los Angeles, CA and can be reached out via phone at 310-430-8870 and via fax at 323-432-0860.

Location: 10379 Eastborne Ave, Los Angeles, CA, 90024-5364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891789798
Provider Name
Behrooz David Soofer
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10379 Eastborne Ave, Los Angeles, CA, 90024-5364
Phone Number
310-430-8870
Fax Number
323-432-0860
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E40591 01 CA BLUESHIELD
E4059 01 CA BLUE CROSS
E4059 01 LICENSE NUMBER
000E40592 05 CA
480031462 01 CA MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
10379 Eastborne Ave
City
Los Angeles
State
California
Zip
90024-5364
Phone Number
310-430-8870
Fax Number
323-432-0860
person
Provider Business Mailing Address Details
Address
10379 Eastborne Ave
City
Los Angeles
State
California
Zip
90024-5364
Phone Number
310-430-8870
Fax Number
323-432-0860
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
E4059 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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