Soma Medical Group

LBN: Soma Medical Group
Soma Medical Group is an health care organization with primary practice located at 1959 Kingsdale Ave , Redondo Beach CA 90278-3417. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Soma Medical Group can be contacted via phone (310) 214-1000, or through Davoudian, Sohail via phone (310) 214-1000.

Contact Information

Primary practice address
1959 Kingsdale Ave Redondo Beach CA 90278-3417
Phone: (310) 214-1000
Fax: (310) 214-8540
Website:
Map and Directions
Authorized official contact:
Name: Davoudian, Sohail Doctor of Medicine (MD)
Phone: (310) 214-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A44878 California

Profile Details

NPI number 1063434900
LBN Legal business name Soma Medical Group
DBA Doing business as
Authorized official Davoudian, Sohail Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Dec 4th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063434900 NPPES
California MEDICAID GR0059090

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