Individual
CAMILLE SOROUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 7TH ST, LOS ANGELES, CA 90017-3768
(310) 988-8380
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A163148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A163148
STATE LICENSE
CA
Enumeration date
04/07/2017
Last updated
10/01/2024
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