Grant, Sophia R

Grant, Sophia R is an individual health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Grant, Sophia R can be contacted via phone (951) 486-4345.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Phone: (951) 486-4345
Fax: (951) 486-4330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A66209 California
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X N6326 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24883 Oklahoma
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X A66209 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A66209 California

Profile Details

NPI number 1841215613
LBN Legal business name Grant, Sophia R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 7th, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841215613 NPPES
Oklahoma MEDICAID 200089650A
Oklahoma MEDICAID 213341503
Oklahoma Other 213341504

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