Soria, Rafael R

Soria, Rafael R is an individual health care provider with primary practice located at 911 E Tuolumne Rd , Turlock CA 95382-1543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Soria, Rafael R can be contacted via phone (209) 668-4101.

Contact Information

Primary practice address
911 E Tuolumne Rd Turlock CA 95382-1543
Phone: (209) 668-4101
Fax: (209) 668-3758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A61735 California

Profile Details

NPI number 1336147040
LBN Legal business name Soria, Rafael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 12th, 2012 - about 13 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 1336147040 NPPES
California MEDICAID 00A617350

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