Sorokoumov, Oleg Yuryevich
Sorokoumov, Oleg Yuryevich is an individual health care provider with primary practice located at 5555 Grossmont Center Dr Sharp Grossmont Hospital, La Mesa CA 91942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Sorokoumov, Oleg Yuryevich can be contacted via phone (858) 248-3634.Contact Information
Primary practice address
5555 Grossmont Center Dr Sharp Grossmont Hospital
La Mesa CA 91942
Phone: (858) 248-3634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 48325 | Wisconsin |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | C55036 | California |
Profile Details
| NPI number | 1306870548 |
|---|---|
| LBN Legal business name | Sorokoumov, Oleg Yuryevich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Dec 10th, 2015 - about 9 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 | 1306870548 | NPPES |
| California | Other | FY773 | MEDICARE |
| California | MEDICAID | 1306870548 | MEDICARE |
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