SORAYA MEDICAL GROUP INC. NPI 1285782664

NPI Information

SORAYA MEDICAL GROUP, INC. is a general practice in South Gate, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SORAYA MEDICAL GROUP, INC. NPI is 1285782664. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 FIRESTONE BLVD
SUITE W
SOUTH GATE, CA
ZIP 90280-778
Phone: (323) 249-6162
Fax: (323) 563-0820

The provider's authorized official is Saeid Sadighi .
The authorized official title is President and has the following contact phone number (323) 249-6162.

The CLIA number assigned to this NPI record is 05D0930085 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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