Organization
SORAYA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAEID SADIGHI M.D. (PRESIDENT)
(323) 249-6162
Entity
Organization
Contact information
Practice address
2701 FIRESTONE BLVD, SUITE W, SOUTH GATE, CA 90280-2778
(323) 249-6162
(323) 563-0820
Mailing address
2701 FIRESTONE BLVD STE W, SOUTH GATE, CA 90280-2778
(323) 249-6162
(323) 563-0820
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
RHC134869
CA
208D00000X
General Practice Physician
Primary
A46572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A465720
PPO I.D
CA
01
—
A465720
HMO I.D.
CA
05
—
GR0080040
—
CA
05
—
GR0080041
—
CA
01
—
ZZZ55357Z
BLUE CROSS BLUESHIELD
CA
Enumeration date
01/08/2007
Last updated
07/30/2013
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