Individual
SOHEIL DANIEL GIDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12629 RIVERSIDE DR APT 337, VALLEY VILLAGE, CA 91607-3490
(818) 625-9439
Mailing address
12629 RIVERSIDE DR APT 337, VALLEY VILLAGE, CA 91607-3490
(818) 625-9439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A184590
CA
208M00000X
Hospitalist Physician
Primary
A184590
CA
Other
Enumeration date
03/20/2019
Last updated
11/08/2024
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