# SOMA ORTHOPEDICS MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093903205
- **Authorized official:** DAVE ATKIN MD (PRESIDENT)
- **Authorized official phone:** (415) 550-1474

## Contact information

- **Practice address:** 1580 VALENCIA ST, SUITE 703, SAN FRANCISCO, CA 94110-4423
- **Practice address phone:** (415) 642-0707
- **Practice address fax:** (415) 550-1566
- **Mailing address:** PO BOX 1230, SUISUN CITY, CA 94585-1230
- **Mailing address phone:** (415) 642-0707
- **Mailing address fax:** (415) 550-1566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A79161 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | G65707 | CA | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | A90204 | CA | — |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 07/29/2022