Organization
VIPAL SONI M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIPAL SONI M.D. (PRESIDENT)
(310) 210-2446
Entity
Organization
Contact information
Practice address
17742 BEACH BLVD, SUITE 325, HUNTINGTON BEACH, CA 92647-6852
(714) 848-0770
Mailing address
17742 BEACH BLVD, SUITE 325, HUNTINGTON BEACH, CA 92647-6852
(714) 848-0770
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A75677
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A75677
CA
207ND0900X
Dermatopathology Physician
A75677
CA
207NS0135X
Procedural Dermatology Physician
A75677
CA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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