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Organization
MARILOU R. SOBRERA, M.D., INC.
Active
Organization
MARILOU R. SOBRERA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILOU ROSALES SOBRERA M.D. (PRESIDENT)
(760) 953-7462
Entity
Organization
Contact information
Practice address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
(760) 242-9167
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(818) 845-6206
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A37096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A370960
—
CA
05
—
00A370961
—
CA
Enumeration date
03/10/2009
Last updated
07/23/2010
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