# SOFYA ALBUKH , MD A PROF. CORP.

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

## Provider details

- **NPI number:** 1700095817
- **Authorized official:** SOFYA ALBUKH MD (PRESIDENT)
- **Authorized official phone:** (818) 994-8570

## Contact information

- **Practice address:** 6850 SEPULVEDA BLVD STE 200, VAN NUYS, CA 91405-4467
- **Practice address phone:** (818) 994-8570
- **Practice address fax:** (818) 994-0034
- **Mailing address:** 6850 SEPULVEDA BLVD STE 200, VAN NUYS, CA 91405-4467
- **Mailing address phone:** (818) 994-8570
- **Mailing address fax:** (818) 994-0034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A55465 | CA | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A554650 | — | CA |