Organization
HOWARD L SOFEN, MD A MEDICAL CORPORATION
Active
Organization
HOWARD L SOFEN, MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD SOFEN MD (MEDICAL DIRECTOR)
(310) 337-7171
Entity
Organization
Contact information
Practice address
8930 S SEPULVEDA BLVD, #114, LOS ANGELES, CA 90045-3606
(310) 337-7171
(310) 337-1081
Mailing address
8930 S SEPULVEDA BLVD, #114, LOS ANGELES, CA 90045-3606
(310) 337-7171
(310) 337-1081
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G47799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W12100
MEDICARE-PTAN
CA
Enumeration date
12/06/2006
Last updated
04/01/2013
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