Individual
PATRICK ADEBOWALE SOGBEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13615 VICTORY BLVD, SUITE136, VAN NUYS, CA 91401-1737
(818) 376-1243
(818) 376-1604
Mailing address
13615 VICTORY BLVD, SUITE 136, VAN NUYS, CA 91401-1737
(818) 376-1243
(818) 376-1604
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
102908
CA
Other
Enumeration date
02/06/2006
Last updated
02/06/2008
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