# SORAYA MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1285782664
- **Authorized official:** DR. SAEID SADIGHI M.D. (PRESIDENT)
- **Authorized official phone:** (323) 249-6162

## Contact information

- **Practice address:** 2701 FIRESTONE BLVD, SUITE W, SOUTH GATE, CA 90280-2778
- **Practice address phone:** (323) 249-6162
- **Practice address fax:** (323) 563-0820
- **Mailing address:** 2701 FIRESTONE BLVD STE W, SOUTH GATE, CA 90280-2778
- **Mailing address phone:** (323) 249-6162
- **Mailing address fax:** (323) 563-0820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | RHC134869 | CA | — |
| 208D00000X | General Practice Physician | A46572 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 07/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A465720 | PPO I.D | CA |
| 01 | — | A465720 | HMO I.D. | CA |
| 05 | — | GR0080040 | — | CA |
| 05 | — | GR0080041 | — | CA |
| 01 | — | ZZZ55357Z | BLUE CROSS BLUESHIELD | CA |