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Organization

DR. SOGHOMONIAN'S MEDICAL CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARA K. SOGHOMONIAN M.D. (PRESIDENT)
(559) 875-2601
Entity
Organization

Contact information

Practice address
2570 JENSEN AVE, SUITE #117, SANGER, CA 93657-2269
(559) 875-2601
(559) 261-0596
Mailing address
2570 JENSEN AVE, SUITE #117, SANGER, CA 93657-2269
(559) 875-2601
(559) 261-0596

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
A50159
CA
261QP2300X
Primary Care Clinic/Center
Primary
A50159
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000A5015
CA
Enumeration date
11/03/2008
Last updated
11/03/2008
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