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Organization

SOFER MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELAZAR SOFER MD (OWNER)
(310) 447-8502
Entity
Organization

Contact information

Practice address
8929 WILSHIRE BLVD STE 102, BEVERLY HILLS, CA 90211-1950
(310) 447-8502
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(877) 258-6331
(718) 362-1651

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
273385
LICENSE
NY
01
A127445
LICENSE
CA
Enumeration date
07/25/2019
Last updated
01/08/2025
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