Organization
SORIN EREMIA M D INC A PROF CORP
Active
Organization
SORIN EREMIA M D INC A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SORIN EREMIA MD (OWNER/PRESIDENT)
(951) 275-0988
Entity
Organization
Contact information
Practice address
4440 BROCKTON AVE, SUITE 200, RIVERSIDE, CA 92501-4068
(951) 275-0988
(951) 275-9223
Mailing address
4440 BROCKTON AVE, SUITE 200, RIVERSIDE, CA 92501-4068
(951) 275-0988
(951) 275-9223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G42033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0685074
CLEA
CA
01
—
070002290
RAILROAD MEDICARE
CA
01
—
G42033
LICENCE
CA
Enumeration date
09/26/2006
Last updated
04/11/2023
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