# SOFER MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1255985594
- **Authorized official:** ELAZAR SOFER MD (OWNER)
- **Authorized official phone:** (310) 447-8502

## Contact information

- **Practice address:** 8929 WILSHIRE BLVD STE 102, BEVERLY HILLS, CA 90211-1950
- **Practice address phone:** (310) 447-8502
- **Mailing address:** 612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
- **Mailing address phone:** (877) 258-6331
- **Mailing address fax:** (718) 362-1651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2019
- **Last updated:** 01/08/2025