Organization
MALINI SOOGOOR, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALINI SOOGOOR M.D. (PRESIDENT)
(805) 520-1191
Entity
Organization
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
(800) 626-2468
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A 81723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A817230
—
CA
Enumeration date
03/15/2007
Last updated
05/30/2018
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