Beyene, Sophia
Beyene, Sophia is an individual health care provider with primary practice located at 1851 N Riverside Ave , Rialto CA 92376-8069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beyene, Sophia can be contacted via phone (909) 421-2700.Contact Information
Primary practice address
1851 N Riverside Ave
Rialto CA 92376-8069
Phone: (909) 421-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A7687 | California |
Profile Details
| NPI number | 1861454993 |
|---|---|
| LBN Legal business name | Beyene, Sophia |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Aug 1st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861454993 | NPPES |
| California | MEDICAID | 00AX76870 |
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