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Organization
SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOROYA M BACCHUS M.D. (OWNER)
(310) 649-2658
Entity
Organization
Contact information
Practice address
6801 PARK TER STE 530B, LOS ANGELES, CA 90045-1543
(310) 865-2541
(310) 895-2895
Mailing address
6801 PARK TER STE 530B, LOS ANGELES, CA 90045-1543
(310) 865-2541
(310) 895-2895
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G74246
CA
Other
Enumeration date
07/02/2009
Last updated
11/10/2020
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