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Organization
SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION
Active
Parent organization
SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION
Other names
Psychiatry Unplugged
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION
Authorized official
SOROYA MONTEZ BACCHUS MD (DIRECTOR)
(310) 895-2541
Entity
Organization
Contact information
Practice address
6801 PARK TER STE 530B, LOS ANGELES, CA 90045-1543
(310) 895-2541
(310) 895-2895
Mailing address
6801 PARK TER STE 530B, LOS ANGELES, CA 90045-1543
(310) 895-2541
(310) 895-2895
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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