Organization
MEDICAL CENTER FOR DIABETES & METABOLIC CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA L SORIANO MD (PRESIDENT)
(215) 630-1361
Entity
Organization
Contact information
Practice address
1850 SULLIVAN AVE STE 510, DALY CITY, CA 94015-2230
(215) 630-1361
(866) 258-6628
Mailing address
1361 BRENTWOOD RD, YARDLEY, PA 19067-3924
(650) 808-7430
(866) 258-6628
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A 38854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF441Z
PTAN
CA
Enumeration date
03/23/2010
Last updated
03/10/2017
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