Individual
DR. MALINI SOOGOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1687 ERRINGER RD STE 215, SIMI VALLEY, CA 93065
(805) 520-1191
(805) 426-8046
Mailing address
PO BOX 77790, CORONA, CA 92877-0126
(951) 278-5590
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A81723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851425862
MEDI-CAL
CA
01
—
A81723
STATE LICENSE
CA
01
—
I55426
UPIN
CA
Enumeration date
05/30/2006
Last updated
05/30/2018
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