Soofer, Behrooz David
Soofer, Behrooz David is an sole proprietor health care provider with primary practice located at 10379 Eastborne Ave , Los Angeles CA 90024-5364. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Soofer, Behrooz David can be contacted via phone (310) 430-8870.Contact Information
Primary practice address
10379 Eastborne Ave
Los Angeles CA 90024-5364
Phone: (310) 430-8870
Fax: (323) 432-0860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E4059 | California |
Profile Details
| NPI number | 1891789798 |
|---|---|
| LBN Legal business name | Soofer, Behrooz David |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Nov 18th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891789798 | NPPES |
| California | Other | 000E40591 | BLUESHIELD |
| California | Other | E4059 | BLUESHIELD |
| California | Other | E4059 | BLUESHIELD |
| California | MEDICAID | 000E40592 | BLUESHIELD |
| California | Other | 480031462 | BLUESHIELD |
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