So, George

So, George is an individual health care provider with primary practice located at 3330 Lomita Blvd , Torrance CA 90505-5002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. So, George can be contacted via phone (310) 517-4675.

Contact Information

Primary practice address
3330 Lomita Blvd Torrance CA 90505-5002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G76849 California

Profile Details

NPI number 1821041195
LBN Legal business name So, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 6th, 2008 - about 16 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 1821041195 NPPES
California MEDICAID 00G768490

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