Vaisman, Sofia

Vaisman, Sofia is an sole proprietor health care provider with primary practice located at 22600 Ventura Blvd Ste 101 , Woodland Hills CA 91364-1430. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Vaisman, Sofia can be contacted via phone (818) 225-1255.

Contact Information

Primary practice address
22600 Ventura Blvd Ste 101 Woodland Hills CA 91364-1430
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A036979 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A036979 California

Profile Details

NPI number 1497846638
LBN Legal business name Vaisman, Sofia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Feb 19th, 2014 - about 10 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 1497846638 NPPES
California MEDICAID 00A369790
California Other 010017655

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