Organization
A. EBBIE SOROUDI, MD, MS A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM EBBIE SOROUDI MD, MS (A PROFESSIONAL MEDICAL CORPORATION)
(310) 770-7836
Entity
Organization
Contact information
Practice address
8900 WILSHIRE BLVD STE 300, BEVERLY HILLS, CA 90211-1959
(310) 474-2010
(310) 474-2009
Mailing address
8900 WILSHIRE BLVD STE 300, BEVERLY HILLS, CA 90211-1959
(310) 474-2010
(310) 474-2009
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A75978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A759780
—
CA
Enumeration date
08/05/2006
Last updated
01/26/2024
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