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Individual

VIPAL SONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17742 BEACH BLVD, SUITE #325, HUNTINGTON BEACH, CA 92647-6818
(714) 848-0770
(714) 848-6643
Mailing address
17742 BEACH BLVD, SUITE #325, HUNTINGTON BEACH, CA 92647-6818
(714) 848-0770
(714) 848-6643

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A75677
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A75677
CA
207ND0900X
Dermatopathology Physician
A75677
CA
207NP0225X
Pediatric Dermatology Physician
A75677
CA
207NS0135X
Procedural Dermatology Physician
A75677
CA

Other

Enumeration date
09/27/2006
Last updated
05/10/2010
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