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Organization
OM SOOD MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
OM SOOD MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OM PARICASH SOOD MD (PRESIDENT)
(760) 955-2828
Entity
Organization
Contact information
Practice address
12998 HESPERIA RD, SUITE 101, VICTORVILLE, CA 92395-8316
(760) 955-2828
(760) 955-2488
Mailing address
12998 HESPERIA RD, SUITE 101, VICTORVILLE, CA 92395-8316
(760) 955-2828
(760) 955-2488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101680
—
CA
Enumeration date
11/17/2006
Last updated
08/06/2014
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