Individual
NBALIA MARIE-ANGE SOUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO.
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 837-5770
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5691
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A8794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020A87940
—
CA
01
—
050394
BLUE CROSS
CA
01
—
95-1683892
OTHER INSURANCE
CA
05
—
RHM08608F
—
CA
05
—
RHM08609F
—
CA
05
—
RHM18553H
—
CA
05
—
ZZT40394F
—
CA
Enumeration date
05/26/2006
Last updated
04/03/2014
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